Insurers are rolling out commercial offerings for 2027, and many are navigating a landscape of greater affordability ...
Inland Empire Health Plan is in preparation mode as the Medicaid managed care plan faces the loss of up to 350,000 members as ...
As the payer industry moves through the fourth quarter of 2026, leadership continues to evolve. Some insurers, including ...
UnitedHealthcare and the Ohio Chamber of Commerce have agreed to settle a lawsuit that accused the insurer of using its role ...
AmeriHealth Caritas is closing its specialty pharmacy in Orlando, Fla., leading to the elimination of 61 positions. The facility, PerformSpecialty, will shut down at the end of this year, according to ...
Nearly half of U.S. adults oppose AI playing any role in health insurance claim decisions, according to a Pew Research Center ...
Alignment Healthcare reported a net loss of $8.1 million in the third quarter amid higher-than-expected medical costs, ...
On Oct. 28, a federal judge partially denied a motion to dismiss a proposed class action accusing Anthem and Elevance Health of sharing member health data with vendors. Anthem policyholders initially ...
A federal judge in Massachusetts struck down a key part of CMS’ “medically frail” definition for Medicaid work requirement exemptions on Oct. 29. In June, 25 states and the District of Columbia sued ...
The Labor Department finalized a rule to promote transparency as pharmacy benefit managers work with large self-insured group ...
Norfolk, Va.-based Sentara Health and Aetna have expanded their partnership to provide Medicare Advantage and Medicaid members with access to Sentara’s full network of hospitals, providers and care ...
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