Minnesota Gov. Tim Walz has proposed shifting the cost of managing the state's ACA reinsurance program from the state to private insurers, along with raising the state's tax on health maintenance ...

Excellus BlueCross BlueShield posted $25.6 million in net income for 2024, the Buffalo News reported March 3. The insurer's Medicare Advantage business lost more than $200 million in 2024 due to wage ...

UnitedHealth Group has more than 2.8 million enrollees in special needs Medicare Advantage plans in 2025, according to CMS data published Feb. 25. Medicare Advantage special needs plans cover ...

Maryland has sanctioned Medicaid managed care organization Priority Partners following the suspension of its health plan accreditation by the NCQA. Priority Partners is owned by Johns Hopkins Health ...

Blue Cross Blue Shield of Michigan had more than 750,000 members across its Medicare Advantage plans in 2025, according to CMS data published Feb. 25. The Detroit-based insurer operates its own ...

Blue Cross Blue Shield of Massachusetts reported a $400 million operating loss in 2024, driven by spending on GLP-1 medications and other rising medical costs. The nonprofit insurer reported its ...

Almost 11 million people would become uninsured if Medicaid expansion states can’t fulfill spending obligations left by potential federal Medicaid cuts, according to a Feb. 24 analysis from the Urban ...

Seventeen HCA hospitals in Florida are suing UnitedHealthcare for allegedly underpaying for emergency care provided to its ACA members. The hospitals claim that UnitedHealthcare consistently ...

The New Hampshire Insurance Department has issued an order requiring Aetna to prove why it should not be fined or have its operating license suspended in the state. The Feb. 26 order stems from a ...

UnitedHealthcare added more than 400,000 Medicare Advantage members during the annual open enrollment period, according to data CMS published Feb. 25. Elevance Health and UnitedHealthcare added to ...

The president of an insurance brokerage firm and the CEO of a marketing company have been charged for their alleged roles in a scheme to submit fraudulent enrollments for fully subsidized ACA plans in ...

In 2019, Medicare spent roughly $7.7 billion on 10 common diabetes drugs, including GLP-1 medications. By 2023, that amount reached $35.8 billion, marking a 364% increase, according to a new report ...