Highmark Health Plans reported a $166 million operating loss in 2024, driven by rising medical costs. Highmark, which operates health plans, health system Allegheny Health Network and several other ...

Blue Cross and Blue Shield of Massachusetts is the latest insurer to sue CMS over what it says was an unfair calculation of its 2025 Medicare Advantage star ratings. In a lawsuit filed March 7 in the ...

The federal government will spend $84 billion more on Medicare Advantage enrollees this year than if they were enrolled in fee-for-service plans, according to new estimates from the Medicare Payment ...

The quality of Anthem, Humana and UnitedHealthcare's mobile applications stand out among Medicare industry peers, according to a February research report from Corporate Insight shared with Becker's.

Some municipalities in North Carolina are looking for a new insurance carrier amid the NC League of Municipalities’ Health Benefits Trust announcing it will shut down on June 30, WITN reported March ...

Texas Attorney General Ken Paxton's Healthcare Program Enforcement Division has secured a $40 million settlement from Molina Healthcare under the Texas Health Care Program Fraud Prevention Act. Molina ...

Blue Shield of California CEO Lois Quam is stepping down after two months on the job. The nonprofit health plan will begin a search for a permanent CEO and has appointed CFO Mike Stuart as interim ...

CMS is proposing a set of new regulations for ACA marketplaces, including shortening the annual enrollment window and rescinding eligibility for DACA recipients. In a March 10 news release, the agency ...

President Donald Trump signed an executive order in February that directs HHS, and the Labor and Treasury departments to "rapidly implement and enforce" price transparency regulations that were ...

At least six Blue Cross Blue Shield companies reported a financial loss in 2024, citing rising medical utilization and drug costs. BCBS Michigan reported an operating loss of $1.7 billion and an ...

Humana is planning to renovate portions of its new headquarters, the Louisville Business Journal reported March 10. In 2024, Louisville, Ky.-based Humana said it would consolidate its headquarters, ...

Minnesota Gov. Tim Walz has proposed shifting the cost of managing the state's ACA reinsurance program from the state to private insurers, along with raising the state's tax on health maintenance ...