HHS and CMS appealed a Maryland federal court’s decision to vacate parts of CMS’ 2025 “Marketplace Integrity and Affordability Rule,” according to July court filings. In the case — which has the city ...
The country’s biggest payers have been branching out beyond insurance for years. Now, that trend is becoming even more pronounced. Second-quarter earnings have kicked off yet again, signaling how ...
The No Surprises Act’s arbitration process awarded close to $15 billion to providers in 2025, according to a Wall Street Journal analysis of federal data. Payouts through the independent dispute ...
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 ...
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 ...
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 ...
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 ...
The July 9 list was created in partnership with Statista to evaluate and rank U.S. companies on employee satisfaction, financial performance and sustainability transparency. The top 1,000 companies ...
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 ...
The Federal Trade Commission reached a settlement with CVS Caremark that requires the pharmacy benefit manager to change its business practices as part of the agency’s antitrust case alleging the PBM ...
The HHS Office of Inspector General reported a $5.56 billion in savings and recoveries from Oct. 1, 2025, through March 31, 2026. OIG released its semiannual report in July. The division focuses on ...
Hospitals under Greenville, N.C.-based ECU Health — a collaboration between East Carolina University and Vidant Health — will remain in network for some UnitedHealthcare plans through Aug. 6, the ...