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 ...

There are major changes afoot for Medicare Advantage plans in 2024 and when they are required to cover inpatient services in hospitals for their members. The changes are likely to present challenges ...

Cigna Healthcare offers the best digital experience to commercial members, while UPMC Health Plan provides the best experience to Medicare Advantage enrollees, according to J.D. Power’s 2025 U.S.

CMS is implementing a final rule that will shorten the open enrollment period on the ACA exchange and create stricter eligibility verifications for enrollees. In a June 20 news release, the agency ...

The healthcare industry needs to have more conversations about patient experience, AI and preventive care, according to payer executives. Becker’s connected with 25 leaders to learn more about what ...

CareFirst Blue Cross Blue Shield is aiming to make generational investments with generational returns, according to CEO Brian Pieninck. In February, the insurer entered into a 10-year partnership with ...

CVS Caremark will pay $32.1 million to the state of Oklahoma after the pharmacy benefit manager allegedly held back savings from state employee health plans, according to a Sept. 9 news release from ...

In five large counties, payers own more than one-third of the primary care market, according to a study published in the July issue of Health Affairs Scholar found. Payers, including Optum, Aetna, ...

Patient expectations will push healthcare to evolve by 2030, according to 23 payer executives. Leaders said AI, new models of care and a push toward convenience will transform healthcare in the next ...

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 ...

More than 30 payer CEOs direct AHIP, the trade association representing the health insurance industry.

A settlement has been finalized in a decadelong lawsuit that claimed Aetna and Optum used misleading billing practices to conceal administrative fees for chiropractic and physical therapy services as ...