Insurers on the ACA marketplace denied around one in five in-network claims in 2023, according to a report from KFF published Jan. 27. Plans sold on the federal ACA marketplace are required to report ...

CMS has withdrawn its appeal of a judge's decision directing the agency to increase UnitedHealthcare's star ratings for its Medicare Advantage plans for 2025. Attorneys for the agency filed a notice ...

UnitedHealthcare is cutting more than 150,000 square feet of office space in Maryland Heights, Mo. as many of its employees continue to work remote or hybrid, the St. Louis Business Journal reported ...

A Minnesota federal judge has given preliminary approval to UnitedHealth's agreement to pay $69 million to settle a class-action lawsuit alleging the company prioritized its business relationship with ...

Almost every state has completed the unwinding of Medicaid continuous coverage, but the process is still causing problems for insurers. Elevance Health saw its Medicaid membership decline by 15% from ...

GuideWell, the parent company of Florida Blue, is laying off 3% of its workforce across 29 states, First Coast News reported Jan. 22. "GuideWell is committed to providing access to quality health care ...

Banner|Aetna has named Victoria Coley as CEO. Tom Grote, the joint venture's former CEO, has retired, according to a Jan. 24 news release. Ms. Coley was most recently chief medicare officer for ...

Colorado's employee health plan will drop coverage in July for GLP-1s prescribed to treat obesity in an effort to cut costs, the Colorado Sun reported Jan. 23. The state will continue to cover GLP-1s ...

Blue Cross and Blue Shield of Vermont is sounding the alarm about the escalating financial challenges facing the state's healthcare system, noting that "the cost surge was unrelenting through 2024." ...

Elevance Health has "many areas of interest" when it comes to future acquisitions Carelon President and Elevance Executive Vice President Peter Haytaian told investors. Elevance acquired multiple ...

An Indiana lawmaker has reintroduced legislation that would cap all prior authorization rates at 1%, the Indiana Capital Journal reported Jan. 23. The proposed bill would also ban prior authorization ...

Cigna Healthcare, has named Amy Flaster, MD, as its chief medical officer. Dr. Flaster will lead Cigna's clinical organization and work to improve customer experience and health outcomes, according to ...