States spend nearly $40 billion annually on expanded Medicaid coverage under the ACA, according to KFF. Medicaid is financed by the federal government and the states based on per capita income. The ...

Employer-sponsored insurance costs rose about 5% in 2024, driven in part by coverage of expensive weight loss medications, according to Mercer's National Survey of Employer-Sponsored Health Plans.

Payer executives shifted their focus to population health and implemented new strategies in 2024. The five executives featured in this article are speaking at Becker's Spring Payer Issues Roundtable.

Changes could be coming for Medicaid in the next presidential administration. In his first term in office, President-elect Donald Trump's administration backed block grant funding for the program, and ...

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 ...

Weight loss management is a common component of many corporate wellness programs. Health plans often offer such programs as a way to encourage plan members to lead healthier lives, while ...

The average Medicare beneficiary will have 34 Medicare Advantage plans available to them in 2025, with Pennsylvania being the highest at 71 plans, according to KFF. In 28 states, the average ...

The vast majority of Medicare Advantage markets are highly concentrated, according to the American Medical Association's annual Competition in Health Insurance report. In 91% of MA markets, one ...

Primary care accounts for more than 35% of U.S. healthcare visits, but only 5% of healthcare spending. To address this gap, a California agency has set a goal for insurers in the state to direct 15% ...

Prospective CMS Administrator Mehmet Oz, MD, has been a major proponent of Medicare Advantage, and has pitched expanding the program to extend coverage to all Americans. President-elect Donald Trump ...

The vast majority of Medicare Advantage markets are highly concentrated, according to the American Medical Association's annual Competition in Health Insurance report. In 91% of MA markets, one ...

Almost half of the nation's local commercial insurance markets are majority controlled by one payer, according to the American Medical Association. The AMA's annual "Competition in Health Insurance" ...