Blue Cross and Blue Shield of Louisiana has lost its legal challenge against CMS over how its 2025 Medicare Advantage star ratings were calculated. On July 9, the U.S. District Court for the District ...

Elevance Health and the Blue Cross Blue Shield Association are suing LifeX Research Corporation, accusing the Georgia-based company of fraudulently using the insurers’ trademarks to sell fake health ...

Justice Department officials have questioned former UnitedHealth Group employees as part of an investigation into the company’s Medicare Advantage billing practices, The Wall Street Journal reported ...

Last week, a coalition of more than 50 major health insurers signed a pledge at a Washington, D.C. summit to “simplify” prior authorization. Led by Secretary Robert F. Kennedy Jr. and Centers for ...

On July 4, President Donald Trump signed the “One Big Beautiful Bill Act,” which includes major changes for employee benefits. 1. Starting January 1, individuals enrolled in bronze and catastrophic ...

Insurers own less than 5% of primary care providers, but this share has grown significantly since 2016, a study published in the July issue of Health Affairs Scholar found. Researchers calculated the ...

The affordability of employer-sponsored health insurance varies significantly by household income, according to a report from the Peterson-KFF Health System tracker. Average employer-sponsored ...

A new California law went into effect Jan. 1 that prohibits payers from making coverage decisions based solely on AI algorithms.

Cigna Healthcare offers the best digital experience to commercial members, while UPMC Health Plan provides the best experience to Medicare Advantage enrollees, according to J.D. Power’s 2025 U.S.

CMS issued its final 2025 Medicare Advantage and Part D rule April 4, setting new standards around marketing, broker payments, and prior authorization.

The healthcare industry needs to have more conversations about patient experience, AI and preventive care, according to payer executives. Becker’s connected with 25 leaders to learn more about what ...

The first wave of UnitedHealthcare’s previously announced 20 percent reduction in prior authorization requirements takes effect Sept 1.