Coming into 2025, health insurance industry leadership encountered overwhelming uncertainty. Following last year’s fatal shooting of UnitedHealthcare CEO Brian Thompson, insurers — including their ...

Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study ...

Average worker contributions toward family insurance premiums grew by 308% between 1999 and 2024, according to a Dec. 8 research letter published in JAMA Network Open. Researchers from Rice University ...

Kaiser Permanente is the largest insurer by enrollment in the fully insured large group market, UnitedHealth Group is the largest within the fully insured small group market, and Centene is the ...

UCare is laying off roughly 250 employees in early January as the Minneapolis-based nonprofit insurer moves toward shutting down, the Minnesota Star Tribune reported Dec. 12. Another 650 workers are ...

Throughout 2025, health insurance leaders have weighed in on the role AI should play in the industry, from advancing operational efficiencies to integrating with consumer-facing technology. Here are ...

Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December.

CMS issued a bulletin Dec. 8 outlining guidance on Medicaid’s forthcoming work requirements. Some states are already embracing work requirements, while others are looking for exceptions. Here are ...

Highmark recently shared how it increased generic and biosimilar access to members, focusing on drugs for multiple sclerosis, cancer and autoimmune conditions. The insurer has been working with ...

Aetna and Providence Oregon have reestablished their contract, according to a Dec. 4 post from the hospital network. The multiyear agreement brings the hospitals back in network after nearly a year.

Insurers are updating reimbursement policies that include new rules surrounding remote monitoring and inpatient reimbursement. Here’s a look at some of the most recent notable updates. BCBS North ...

CMS is reminding state insurance departments that federal law preempts any efforts to regulate Medicare Advantage broker compensation and marketing practices. Over the last year, many insurers have ...