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, ...

Blue Cross and Blue Shield of Louisiana has lost its legal challenge against CMS over how its 2025 Medicare Advantage star ratings were calculated. On July 9, the U.S. District Court for the District ...

A silver-level insurance plan costs nearly 20% of the median monthly household income in Vermont, according to WalletHub. The personal finance company published a ranking of states spending the most ...

Last week, a coalition of more than 50 major health insurers signed a pledge at a Washington, D.C. summit to “simplify” prior authorization. Led by Secretary Robert F. Kennedy Jr. and Centers for ...

Elevance Health and the Blue Cross Blue Shield Association are suing LifeX Research Corporation, accusing the Georgia-based company of fraudulently using the insurers’ trademarks to sell fake health ...

On July 4, President Donald Trump signed the “One Big Beautiful Bill Act,” which includes major changes for employee benefits. 1. Starting January 1, individuals enrolled in bronze and catastrophic ...

Justice Department officials have questioned former UnitedHealth Group employees as part of an investigation into the company’s Medicare Advantage billing practices, The Wall Street Journal reported ...