UnitedHealthcare alleges CMS treated its Medicare Advantage star ratings differently compared to Elevance Health, according to court documents unsealed Nov. 18. The insurer sued CMS Sept. 30, alleging ...

Molina Healthcare is partnering with Instacart in Michigan to address food insecurity among expectant mothers. The partnership will provide 600 of Molina's pregnant members with Instacart+ memberships ...

Medicare Advantage plans faced several headwinds in 2024, including rising medical costs, declining star ratings and a tougher reimbursement environment. The CEOs of some insurers say they are ...

The 2025 Medicare Advantage market is seeing major changes, with some insurers expanding into new counties and others exiting certain counties. In total, 18 major insurers exited some Medicare ...

Fast-paced advancements in generative AI will change the core operations of every healthcare organization. AI-driven technology is not just a side project anymore. AI solutions including generative AI ...

The CEOs of at least three payers plan to retire at the end of 2024. Here are five executive retirements Becker's has reported this year: Centene president Ken Fasola plans to retire in July 2025. Mr.

Blue Cross and Blue Shield of Massachusetts reported a $114 million operating loss in the first nine months of the year, partly due to skyrocketing claims for GLP-1 medications. 1. BCBSMA reported an ...

WPS Health Solutions is laying off 313 employees in Wisconsin due to competitive pressures and federal contract losses. The layoffs will begin to take place in Monona and Madison on January 21, 2025, ...

Two Aetna employees were arrested for allegedly orchestrating a $1.1 million fraud scheme, according to a Nov. 15 news release from Florida CFO Jimmy Patronis. According to the release, Rochell Green ...

Healthcare adheres to an elevated standard. This is evident in the rigorous training required for providers, the stringent safety protocols for life sciences professionals, and the stringent data and ...

Private health insurance markets grew more concentrated over the past decade, according to a report published by the Government Accountability Office Nov. 14. The GAO defines markets as concentrated ...

In recent years, healthcare executives and providers have faced growing expectations to address health inequities that affect diverse populations across the country. But what does health equity truly ...