Oscar Health is rolling out new plans for 2025. The insurer will offer individual plans in 504 markets in 18 states, according to an Oct. 21 news release. Oscar will add new markets in Texas, Oklahoma ...

States are taking action to increase Medicaid rates, Centene executives told investors. On Oct 25, the company reported third-quarter earnings of $713 million, up 52% since the same period last year.

Centene is the latest insurer challenging CMS' Medicare Advantage star ratings in court. In a lawsuit filed Oct. 22, Centene asked a federal judge to require CMS to recalculate its star rating without ...

Wall Street analysts say a potential Cigna-Humana merger depends on the results of the presidential election, Bloomberg reported Oct. 21. Scott Fidel, an analyst with Stephens, wrote that the merger ...

Elevance Health is laying off 123 employees in Southern California, according to regulatory documents filed with the state Oct. 14. Elevance will lay off 59 employees at Anthem Blue Cross in Woodland ...

Define Ventures, a venture capital firm focused on early-state health tech companies, has named former Humana president and CEO Bruce Broussard as venture partner. Mr. Broussard will partner closely ...

Recent advancements in healthcare—such as telemedicine and automation—have propelled progress, but Medicaid populations continue to be left behind. While this new report focuses on Medicaid recipients ...

Blue Shield of California is partnering with Salesforce on a new platform solution that aims to make prior authorization simpler and faster. The platform will be built on Salesforce Health Cloud, and ...

1. The BCBS Association, along with the 33 independent BCBS companies, agreed to pay $2.8 billion to settle antitrust claims from healthcare providers, and make major internal process reforms, marking ...

Several insurers are disputing CMS' Medicare Advantage star ratings. For 2025, just seven plans received a five-star rating from CMS, down from 38 in 2024. The overall average rating was 3.92, down ...

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. Children's ...

The Biden administration is proposing rules that would require insurers to cover the costs of over-the-counter contraceptives without a prescription. In an Oct. 21 news release, HHS Secretary Xavier ...