The Department of Labor is proposing a new rule that would let employer group health plans deliver required documents to workers electronically by default, a change the department estimates could save ...

Sen. Andy Kim, D-N.J., introduced his “MediKids” bill July 21, which would promise healthcare coverage for those up to 26 years old. The law would amend the Social Security Act to make everyone under ...

Since the beginning of 2026, federal lawmakers have been pitching reforms that touch every corner of the payer space, from government-run programs to how insurance companies conduct business. Here are ...

Imagine360 introduced a new health plan offering called Choice360 July 21, which will launch for the Jan. 1, 2027, plan year. Imagine360 offers alternative health plans for self-funded employers.

Two senators are demanding records from the three largest Medicare Advantage insurers over their use of AI and prior authorization to deny post-acute care to seniors. The senators are seeking records ...

Insurers estimate that they will pay more than $759 million in medical loss ratio rebates across commercial markets in 2026. KFF’s preliminary analysis is based on insurer-reported financial data from ...

Nebraska employers lead the nation in self-funded healthcare benefits, with 73% of the state’s employer-sponsored insurance structured under ERISA rather than purchased from an insurer, according to ...

UnitedHealth Group posted nearly $5.5 billion in profit for the second quarter of 2026, up sharply from the same period last year. The company released second-quarter earnings July 16, raising its ...

The country’s largest healthcare company is placing a bet on Anthropic. Optum, part of UnitedHealth Group, is partnering with Anthropic “to responsibly bring AI to healthcare to help people live ...

Two more Medicare Advantage insurers are suing CMS over their 2026 star ratings, arguing the agency did not go far enough when it adjusted the ratings following a major court loss to Clover Health ...

Elevance Health plans to exit additional Medicaid markets over the next 12 to 18 months where it doesn’t see a viable path forward, executives said July 15 during the company’s second-quarter earnings ...

Blue Cross and Blue Shield of North Carolina won the state’s third-party administrator and pharmacy benefit manager contracts for the state health plan effective Jan. 1, 2028. Blue Cross NC previously ...