Some insurers are sounding the alarm that Medicare coverage of weight loss drugs could increase premiums. On Nov. 26, CMS issued its proposed rule for Medicare Advantage plans in 2026. The rule ...

An Illinois lawmaker has introduced legislation that aims to provide greater oversight of how insurers use artificial intelligence in decision-making processes. If enacted, the state would have the ...

At the National Association of Insurance Commissioners Fall 2024 meeting on Nov. 18, state insurance regulators focused on artificial intelligence, mental health parity and other emerging challenges ...

Massachusetts' insurance commissioner has approved the sale of Springfield-based Baystate Health's insurance subsidiary, Health New England, to Point32Health. Point32Health is the parent company of ...

CareSource has closed on its acquisition of Radiant Alliance, a nonprofit senior care organization composed of Metta Healthcare (parent company of Ohio's Hospice and Pure Healthcare), United Church ...

Most Medicare Advantage markets are highly concentrated, but in a handful of markets, one payer controls more than 70% of the MA landscape, according to the American Medical Association's annual ...

CMS proposed major reforms on Nov. 26 for the Medicare Advantage and Part D programs for contract year 2026, including changes to prior authorization and weight loss drug coverage. The agency is also ...

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 ...

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 ...

Highmark Health reported $22.1 billion in revenue and $529 million in net income in the first nine months of 2024. The company's insurance business reported $16.6 billion in operating revenue and $275 ...

Humana misrepresented the providers its Medicare Advantage plans will be in-network with in 2025, Minnesota Attorney General Keith Ellison alleged. Mr. Ellison sent a letter to Humana CEO Jim Rechtin ...

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 ...