UnitedHealthcare is offering some employees buyouts if they leave their job by March 3, CNBC reported Feb. 19. Employees who reject the offer will continue with the company, but layoffs will occur if ...

Payers are focused on leveling up their use of AI and improving members' health outcomes in 2025. Becker's connected with more than a dozen executives at payers across the country to learn what their ...

Blue Cross Blue Shield of Michigan will begin enforcing a long-standing policy that would charge hospitals that repeatedly appeal denied claims. Although the policy has been part of the company’s ...

Humana's chief medical officer, Kate Goodrich, MD, says CMS' proposed Medicare Advantage rate increase for 2026 "does not fully account for" the rising medical costs experienced by the company over ...

Medicare Advantage insurers are navigating headwinds in 2025, and new data shows prior authorization requirements within the program continuing to grow. Here are seven Medicare Advantage updates ...

The country's largest payers reported year-over-year increases in medical cost ratios. CVS Health reported the highest medical benefit ratio at 92.5%, driven by increased utilization, the unfavorable ...

Blue Cross and Blue Shield of Alabama is criticizing a proposed health plan backed by the Alabama Farmers Federation (ALFA), which BCBS says would provide unregulated coverage, harm members, and ...

The Trump administration is looking to target 'program integrity' within the Affordable Care Act marketplace with a new proposed rule, while also reducing funding for the ACA navigator program to $10 ...

A federal judge is allowing a lawsuit against UnitedHealth Group to partially move forward, which alleges the company used an artificial intelligence algorithm to wrongfully deny Medicare Advantage ...

The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest profits in 2024. 1. UnitedHealth Group: $14.4 billion Total net earnings in 2024 were ...

UnitedHealth Group and Amedisys have proposed selling a minimum of 128 home health and hospice facilities as part of their efforts to address competitive concerns arising from their $3.3 billion ...

Blue Cross Blue Shield of Massachusetts has promoted Prem Somasundaram to CIO and named Dennis Charland Jr. as senior vice president of commercial and pharmacy sales. Mr. Somasundaram most recently ...