HHS' Office of Inspector General has issued a special fraud alert about the risks of fraud and abuse in certain marketing and compensation arrangements related to Medicare Advantage. The December ...

UnitedHealth Group expects revenues of up to $455 billion in 2025. The company hosted its annual investor conference on Dec. 4. UHG CEO Andrew Witty abruptly canceled the event about one hour after it ...

ICHRA broker platform Remodel Health has raised more than $100 million in growth funding. Remodel offers a platform to support employers and employees with launching and accessing ICHRA plans, ...

Aetna is laying off 164 remote employees "due to an unexpected loss of contract in Kansas." The layoffs will take place in February 2025, according to regulatory documents filed with Connecticut ...

Sacramento, Calif.-based Sutter Health has named Aparna Abburi as senior vice president of population health and health plan services and CEO of Sutter Health Plan. Ms. Abburi previously held ...

The prices for some GLP-1s have dropped significantly in recent years for individuals covered by Medicare and commercial insurance, according to a new report from HHS. In 2024, the U.S. list prices ...

Humana and CommonSpirit hospitals in Colorado will go out-of-network Jan. 1, 2025. The contract split applies to Humana Medicare Advantage plans, according to a statement CommonSpirit shared with ...

Georgia will award Medicaid contracts to four Medicaid managed care organizations. According to a notice published Dec. 2, the agency plans to grant Medicaid contracts to Humana, CareSource, Molina ...

Blue Shield of California has named Ellen Sexton executive vice president and chief growth officer. Ms. Sexton will oversee growth and performance of all lines of business for Blue Shield, including ...

Enrollment on the ACA marketplace reached 16.6 million consumers as of Dec. 18. The surge in enrollments comes after a slow start. As of Dec. 4, 5.4 million people had enrolled in federal ACA ...

Payers expanded their reach into the provider space through acquisitions in 2024. Elevance Health picked up specialty care providers and launched a new foray into primary care. UnitedHealth Group's ...

Sanford Health Plan is expanding its Medicare Advantage offerings to more rural communities. In December, Sanford Health Plan, part of Sioux Falls, S.D.-based Sanford Health, partnered with Lincoln, ...