CMS has withdrawn its appeal of a judge's decision directing the agency to increase UnitedHealthcare's star ratings for its Medicare Advantage plans for 2025.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 ...

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 ...

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 ...

An Indiana lawmaker has reintroduced legislation that would cap all prior authorization rates at 1%, the Indiana Capital Journal reported Jan. 23. The proposed bill would also ban prior authorization ...

Banner|Aetna has named Victoria Coley as CEO. Tom Grote, the joint venture's former CEO, has retired, according to a Jan. 24 news release. Ms. Coley was most recently chief medicare officer for ...

Colorado's employee health plan will drop coverage in July for GLP-1s prescribed to treat obesity in an effort to cut costs, the Colorado Sun reported Jan. 23. The state will continue to cover GLP-1s ...

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 ...

CMS' proposed Medicare Advantage rates for 2026 are moving in the right direction, but still "insufficient" to cover rising costs in the program, according to Elevance Health executives. On a Jan. 23 ...

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 ...

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 ...

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 ...

Payer executives are focused on staying adaptable in 2025. Becker's connected with 23 executives to learn how they are leveling up their leadership skills for the year ahead. Like what you see here?