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 ...

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 ...

CVS Health will lay off 42 additional employees at Aetna's headquarters in Hartford, Conn, after laying off hundreds of employees earlier this year. According to a notice published Nov. 25, the ...

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 ...

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 ...

UnitedHealthcare has prevailed in its lawsuit against CMS regarding the methodology used to calculate its 2025 Medicare Advantage star ratings. The lawsuit, filed Sept. 30 in the U.S. District Court ...

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 ...

Employer-sponsored insurance costs rose about 5% in 2024, driven in part by coverage of expensive weight loss medications, according to Mercer's National Survey of Employer-Sponsored Health Plans.

Untreated mental health conditions often prevent people from seeking medical care, leading to more expensive emergency treatments. Personalized, targeted outreach based on AI-enabled insights can help ...

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 ...

Fewer Medicare Advantage insurers will offer remote access technologies and over-the-counter benefits in 2025 than in 2024, according to an analysis from KFF. In a report published Nov. 15, the health ...