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 ...

HHS has rescinded a proposal to require ACA plans to cover over-the-counter contraceptives, Politico reported Jan. 14. Officials told the outlet the rule was rescinded to allow the agency to "focus on ...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

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 ...

L.A. Care Health Plan is the largest dual special needs plan in the country with more than 247,000 million enrollees, according to KFF.

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 ...

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 ...

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 ...

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, ...

UPMC Health Plan has named Chester (Chet) Ho, MD, as chief medical officer. Dr. Ho will contribute to the Insurance Service Division's business strategy and oversee the clinical and quality programs ...