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 ...

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 ...

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 ...

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 ...

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.

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 ...

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 ...

Payer executives shifted their focus to population health and implemented new strategies in 2024. The five executives featured in this article are speaking at Becker's Spring Payer Issues Roundtable.