Payer

When Humana began its diversity, equity and inclusion (DEI) journey, the focus was on caring for a culture of belonging for our employees.

Enrollment in ACA plans hit a record high of 21.4 million in 2024, driven by premium subsidies.

Blue Cross Blue Shield companies have the largest market share among commercial insurers in the majority of states, according to the American Medical Association's annual "Competition in Health Insurance" report. 

Michigan Medicine will shutter its health plan, U-M Health Plan, at the end of 2025. 

A former Aetna employee has been sentenced to five years in prison in Ohio over his involvement in several fraudulent claims schemes. 

At the National Association of Insurance Commissioners Fall 2024 meeting on Nov. 18, state insurance regulators focused on artificial intelligence, mental health parity and other emerging challenges in the health insurance industry. 

Some insurers are sounding the alarm that Medicare coverage of weight loss drugs could increase premiums. 

Highmark Health reported $22.1 billion in revenue and $529 million in net income in the first nine months of 2024.

UnitedHealthcare has prevailed in its lawsuit against CMS regarding the methodology used to calculate its 2025 Medicare Advantage star ratings. 

Untreated mental health conditions often prevent people from seeking medical care, leading to more expensive emergency treatments. Personalized, targeted outreach based on AI-enabled insights can help address this problem.