The Trump administration is looking to target 'program integrity' within the Affordable Care Act marketplace with a new proposed rule, while also reducing funding for the ACA navigator program to $10 ...

UnitedHealth Group and Amedisys have proposed selling a minimum of 128 home health and hospice facilities as part of their efforts to address competitive concerns arising from their $3.3 billion ...

Atlanta-based Sonder Health Plans is rapidly expanding while aiming to keep its personalized service for members. The health plan added 14,000 new members for 2025, more than tripling its enrollment, ...

Chiquita Brooks-LaSure, the CMS administrator during the Biden administration, is joining The Century Foundation, a progressive think tank, as a senior fellow. As a full-time senior fellow, Ms. Brooks ...

UnitedHealthcare, in collaboration with the Health Action Council, has released a report analyzing the economic impact of obesity on employer's healthcare costs. The study, which analyzed data from ...

A federal judge is allowing a lawsuit against UnitedHealth Group to partially move forward, which alleges the company used an artificial intelligence algorithm to wrongfully deny Medicare Advantage ...

Blue Cross Blue Shield of North Carolina is the highest-ranked health insurer on Forbes' annual ranking of America's best large employers. The publication released its annual ranking of the best ...

Aetna has reversed course on a policy change involving reimbursement rates for services provided by nurse practitioners and nurse midwives. Originally set to take effect on April 1, the company said ...

The country's largest payers reported year-over-year increases in medical cost ratios. CVS Health reported the highest medical benefit ratio at 92.5%, driven by increased utilization, the unfavorable ...

Centene has moved to dismiss the lawsuit it filed challenging its Medicare Advantage star ratings in court. In October, Centene asked a federal judge to require CMS to recalculate its star rating ...

Multiple prior authorization reform bills are in the works in the Montana state legislature, KFF Health News reported Feb. 13. Three things to know: 1. State Rep. Jonathan Karlen is sponsoring two ...

Payers are navigating through the second year of major Inflation Reduction Act changes. Beginning in 2025, Medicare beneficiaries have a maximum out-of-pocket limit of $2,000 annually. The change led ...