Two relatively new insurers in the Medicare Advantage market saw spikes in enrollment for 2025 Clover Health, launched in 2014, grew its Medicare Advantage membership 27% year-over-year, according to ...

Payer executives are focused on staying adaptable in 2025. Becker's connected with 20 executives to learn how they are leveling up their leadership skills in 2025. Like what you see here? Join us at ...

Imagine360, a health plan for self-funded employers, has purchased Ardent Health's third-party administrator, HealthFirst. Terms of the deal were not disclosed, but Imagine360 said it would hire ...

CMS is facing at least a half-dozen lawsuits over its 2025 Medicare Advantage star ratings. Alignment Healthcare is the latest MA insurer to sue CMS, alleging it acted wrongfully when assigning 2025 ...

CMS will implement policies meant to crack down on fraud in the ACA marketplace. The agency published the 2026 final rule for ACA plans Jan. 13, and the regulations take effect Jan. 15. CMS will ...

HHS has rescinded a proposal to require ACA plans to cover over-the-counter contraceptives, Politico reported Jan. 14. Officials told the outlet the rule was rescinded to allow the agency to "focus on ...

Solera Health has received $40 million in Series E financing, co-led by Health Care Service Corp., Cobalt Ventures, Horizon Mutual Holdings, and Adams Street. HCSC is the parent company of five BCBS ...

Nevada has received federal approval to implement public health insurance plans on its ACA exchange, becoming the third state to do so after Colorado and Washington. The new public option health plans ...

More than 3 million new enrollees signed up for plans on state and federal ACA marketplaces for 2025. As of Jan. 4, 23.6 million people had enrolled in ACA coverage, according to CMS data published ...

32 payers have been ranked by the Human Rights Campaign Foundation for their inclusivity toward LGBTQ employees. The January report invited Fortune's 500 largest publicly traded businesses, American ...

Texas has the highest Medicaid spending as a percentage of total state expenditures, while Wyoming has the lowest, according to KFF. The data is from states' fiscal year 2023 and excludes ...

Alignment Healthcare has promoted Dawn Maroney to president. Ms. Maroney was previously president of markets and CEO of Alignment Health Plan, according to a Jan. 13 news release. The Orange, ...