Iowa will implement work requirements for its Medicaid expansion program beginning Jan. 1, 2026, Radio Iowa reported Aug. 19. Under the recently signed One Big Beautiful Bill Act, states will have to ...

In today’s data-driven healthcare landscape, delivering higher quality outcomes increasingly depends on how seamlessly and securely health information flows — not just from providers to payers, but ...

Providence hospitals across California are the latest to sue Kaiser Permanente over allegations that the organization’s health plan has underpaid for emergency and post-stabilization care provided to ...

A SelectQuote shareholder has filed a proposed class action lawsuit against the insurance broker and its top executives, alleging the company misled investors about its operations and financial health ...

New Hampshire Gov. Kelly Ayotte has signed legislation banning surprise ground ambulance billing and establishing reimbursement rates insurers must pay for services. Beginning Jan. 1, 2026, ambulance ...

In today’s evolving healthcare environment, connection has never been more vital. Connection – the sense of being understood and supported – is what transforms healthcare from a transaction into a ...

From 16 years to a few months, here are the CEO tenures at seven of the nation’s largest payers. 1. Cigna: David Cordani. CEO since June 2009. 2. Molina Healthcare: Joseph Zubretsky. CEO since ...

Blue Shield of California has partnered with Gemini Health to launch “Price Check My Rx,” a new tool that sends mobile alerts to prompt members to review drug prices and compare lower-cost ...

Aetna is rolling out a new inpatient reimbursement policy for its Medicare Advantage and Special Needs Plans, effective Nov. 15. “Our goal is simple: We want to help you get reimbursed faster for ...

UnitedHealth Group is complying with criminal and civil investigations into its Medicare Advantage business, the company said in a July 24 regulatory filing. The disclosure comes after The Wall Street ...

Payer leaders need a flexible mindset, data know-how and big-picture thinking to succeed in 2025, according to more than a dozen executives. Becker’s reached out to 17 executives to learn what ...

Humana has reintroduced a lawsuit challenging its Medicare Advantage star ratings. On July 18, U.S. District Judge Reed O’Connor dismissed the case without prejudice. Mr. O’Connor ruled that Humana ...