Humana expects its Medicare Advantage membership to decline by around 550,000 members in 2025. Company executives previously said they expected to lose a "few hundred thousand members" in 2025. Humana ...

Humana lost $693 million in the fourth quarter of 2024, according to the company's year-end earnings report published Feb. 11. The results reflect increased benefits expenses, particularly in Medicare ...

Don George, president and CEO of Blue Cross and Blue Shield of Vermont, will retire at the end of 2025 after serving more than 16 years as the payer's chief executive. BCBS Vermont's board of ...

North Carolina has fined UnitedHealthcare $3.4 million following a four year investigation into the company's claims handling practices involving balance billing. The investigation focused on the ...

CalOptima Health, a Medi-Cal insurer in Orange County, Calif., is planning to offer coverage on the state’s ACA marketplace in an effort to improve continuity of care and expand access to more than 15 ...

Executives at two of the largest Medicaid managed care providers aren't expecting large federal funding cuts to the program. Joseph Zubretsky, CEO of Molina Healthcare, told investors he expects any ...

Blue Cross Blue Shield of Massachusetts has promoted Prem Somasundaram to CIO and named Dennis Charland Jr. as senior vice president of commercial and pharmacy sales. Mr. Somasundaram most recently ...

After more than three months out of network, Phoenix Children's and Blue Cross Blue Shield of Arizona have reached a multiyear agreement. The insurer and children's health system split Oct. 31. The ...

A bill to establish a single payer healthcare system in Massachusetts has been refiled in the state legislature, aiming to replace private insurers with a publicly funded program that guarantees ...

Humana saved $11 billion through value-based care in 2023 compared to fee-for-service Medicare. The company published its annual value-based care report Feb. 5. Humana saved 25.8% on medical costs ...

Elevance Health plans to acquire a stop-loss insurance subsidiary from Verily, a sister company of Google, the company confirmed in a statement to Becker's Feb. 7. Indianapolis-based Elevance plans to ...

UnitedHealth Group has asked the SEC to exclude two shareholder proposals from its 2025 annual meeting proxy materials that raise concerns about the company’s handling of prior authorization ...