Oklahoma Medicaid Director Traylor Rains is leaving the role at the end of January for a job with consulting firm Deloitte, StateImpact Oklahoma reported Jan. 17. Mr. Rains has served as the state's ...

Though Medicare Advantage beneficiaries are more likely to have coverage of vision, dental and hearing services, they are not more likely to use these services than their peers in traditional Medicare ...

UnitedHealth Group reported record revenue in 2024, but profits declined as the company continues to grapple with costs associated with the February cyberattack on Change Healthcare and headwinds ...

Solera Health has received $40 million in Series E financing, co-led by Health Care Service Corp., Cobalt Ventures, Horizon Mutual Holdings, and Adams Street. HCSC is the parent company of five BCBS ...

Centene's 'Ohana Health Plan has partnered with homeless services provider Hope Services Hawaii on a new residential program for integrated clinical care. The program will provide housing support for ...

32 payers have been ranked by the Human Rights Campaign Foundation for their inclusivity toward LGBTQ employees. The January report invited Fortune's 500 largest publicly traded businesses, American ...

Two relatively new insurers in the Medicare Advantage market saw spikes in enrollment for 2025 Clover Health, launched in 2014, grew its Medicare Advantage membership 27% year-over-year, according to ...

A group representing large employers is suing to block the implementation of a rule that would more strictly enforce requirements for insurers to cover mental health care. The ERISA Industry Committee ...

Payer executives are focused on staying adaptable in 2025. Becker's connected with 20 executives to learn how they are leveling up their leadership skills in 2025. Like what you see here? Join us at ...

Optum Rx will pass 100% of the rebates it negotiates for drugs onto its consumers by the end of 2028, UnitedHealth Group CEO Andrew Witty told investors. On the company's fourth-quarter earnings call ...

More than 3 million new enrollees signed up for plans on state and federal ACA marketplaces for 2025. As of Jan. 4, 23.6 million people had enrolled in ACA coverage, according to CMS data published ...

CMS is facing at least a half-dozen lawsuits over its 2025 Medicare Advantage star ratings. Alignment Healthcare is the latest MA insurer to sue CMS, alleging it acted wrongfully when assigning 2025 ...