Highmark has been considering its next era of AI-driven member engagement, putting a spotlight on what members may say in ...
As insurers pivot their market and product strategies, executive leadership has been evolving at health plans and their ...
UnitedHealthcare, Cigna and Centene are among the initial participants in a national shared provider credentialing program, ...
NCQA reveals its lowest-rated health plans + Elevance court win signals next phase of IDR fight September 22, 2026 1. The lowest-rated health plans of 2026: NCQA Full story 2. Elevance wins dismissal ...
Health systems are not the only groups pushing back against a CMS proposal to restrict remote patient monitoring. In July, ...
TJ Gibb, Humana’s Medicare Part D president, has left the company through its early retirement program. In a Sept. 23 ...
Centene has hired Steven Kelts for the role of AI ethicist, he announced in a September LinkedIn post. In the new role, Mr.
Under HR 1, many lawfully present immigrants will face narrower Medicaid and CHIP eligibility policies on Oct. 1. According ...
A federal appeals court has ruled that a plastic surgery practice cannot sue Cigna to collect more than $3 million it won ...
CMS said Sept. 22 that it canceled plan year 2026 ACA policies covering 760,000 people. CMS canceled 315,000 policies ...
Dan Kueter, CEO of UnitedHealthcare’s commercial business since 2022, has moved into a new role as chief commercial officer ...
The American Medical Association is urging CMS to maintain its Jan. 1, 2027, electronic prior authorization deadline. CMS broadened prior authorization reform efforts — and built upon payers’ existing ...
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