Fort Lauderdale, Fla.-based Broward Health and Hollywood, Fla.-based Memorial Healthcare System are partnering to offer Broward County residents a new health insurance option on the ACA Marketplace ...

Special needs plans are far from new, but they continue to hold promise as some insurers step back from Medicare Advantage. One KFF analysis attributed about half of MA enrollment growth since 2024 to ...

The Justice Department is asking a Maryland federal court judge to appoint William Berlin as compliance monitor as part of the settlement agreement allowing UnitedHealth Group to acquire Amedisys.

In June, Becker’s predicted that 2025 would shape up to be the year of AI agents in healthcare. While AI agents are nothing new, more insurers are getting on the bandwagon. AI agents complete tasks ...

Elevance Health is deepening its use of artificial intelligence enterprise-wide, focusing on enhancements to its member services, clinical workflows and provider operations as part of long-term ...

The high cost of GLP-1 drugs have thrown a curveball at payer strategy. Employers providing health insurance are also grappling with the fallout. From January to July, Davis Research interviewed ...

CMS shared its Medicare Advantage star ratings for 2026 on Oct. 9. Strong ratings lead to plans earning quality bonus payments, while plans that consistently underperform may encounter more oversight ...

CMS released its Medicare Advantage star ratings for 2026 on Oct. 9. Strong ratings, with five stars being the highest score, lead to plans earning quality bonus payments. Eighteen plans achieved a ...

Cigna has agreed to settle a “ghost network” class-action lawsuit for $5.7 million, according to October federal court filings in Illinois. Plaintiffs Andrew and Andrea Hecht alleged that in 2021, ...

California Gov. Gavin Newsom has signed a bill into law allowing the state’s Department of Managed Health Care to waive prior authorizations for services or prescriptions that payers approve at least ...

Sentara Health Plans will not offer Medicare Advantage, MA prescription drug HMO, or C-SNP plans in Virginia, North Carolina and Florida in 2026. “These products are no longer financially sustainable ...

The insurer’s Medicare Advantage plans will reach 94% of those eligible, compared to 96% in 2025. Earlier this year, UnitedHealthcare said it would some exit MA markets, affecting 600,000 people total ...