Almost every state has completed the unwinding of Medicaid continuous coverage, but the process is still causing problems for insurers. Elevance Health saw its Medicaid membership decline by 15% from ...

Elevance Health posted nearly $6 billion in net income in 2024, according to the company's year-end earnings report published Jan. 23. Total revenues in the fourth quarter were $45.4 billion, a 6.6% ...

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Appalachian ...

CMS is appealing a judge's decision directing the agency to increase UnitedHealthcare's star ratings for its Medicare Advantage plans for 2025. Attorneys for the agency filed a notice of appeal Jan.

A Texas lawmaker has introduced a bill that would prohibit payers from using artificial intelligence to delay, deny or modify claims, NBC affiliate KXAN reported Jan. 21. The bill from Sen. Charles ...

In 2024, Inland Empire Health Plan achieved significant growth through the expansion of healthcare facilities, recognition on top industry rankings, strengthened partnerships with local and community ...

Becoming part of CareSource will help Common Ground Healthcare Cooperative expand, the company's CEO told Becker's. Cathy Mahaffey is CEO of Common Ground Healthcare Cooperative and president of ...

UnitedHealth Group has chosen a new CEO to lead its insurance business, following the fatal shooting of former UnitedHealthcare CEO Brian Thompson late last year. Tim Noel has been named CEO of ...

Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with contract losses. Below are workforce reduction efforts or job eliminations that were ...

Little Rock-based Arkansas Blue Cross and Blue Shield is discussing a potential merger with Cambia Health Solutions, Arkansas Business reported Jan. 21. Arkansas Business cited a source with knowledge ...

In 2025, health insurance leaders are focused on leveraging technology, particularly AI, to enhance healthcare delivery, expand access, address system complexities, and advance value-based care, while ...

Payer executives are focused on staying adaptable in 2025. Becker's connected with 20 executives to learn how they are leveling up their leadership skills in 2025. Like what you see here? Join us at ...