Democratic senators introduced legislation June 25 that would cap out-of-pocket costs for traditional Medicare beneficiaries. The Medicare Cost Cap Act would install a $5,000 annual cap for Parts A ...

Elevance Health will exit the small group ACA market in Ohio in 2027, the company confirmed with Becker’s. “Small businesses are increasingly seeking health coverage options that deliver affordability ...

The ground is shifting beneath the healthcare industry, and payers know it. With federal Medicaid funding under scrutiny, enhanced ACA subsidies expired, value-based care models continuing to evolve, ...

Delaware’s largest payer controls 93% of the state’s health insurance market, while Washington state’s largest insurer controls just 24%, according to KFF. The 2023 data was obtained from the “Health ...

Vermont has the highest average ACA benchmark premium in 2026, while New Hampshire has the lowest, according to KFF. The U.S. average is $625. Premiums were analyzed using the second-lowest cost ...

A federal magistrate judge in Minnesota has ordered UnitedHealth Group to produce a wide range of documents in an ongoing lawsuit accusing the insurer of using an AI algorithm to wrongfully deny ...

Blue Cross Blue Shield companies have the largest market share among commercial insurers in the majority of states, according to the American Medical Association’s annual “Competition in Health ...

AmeriHealth Caritas is dropping its pharmacy benefit manager business, PerformRx, and transitioning to Optum Rx instead, the insurer confirmed to Becker’s Feb. 17. AmeriHealth Caritas is moving away ...

Becker’s connected with 17 health plan leaders to learn how their organizations are shifting their priorities in response to continued medical cost trends and affordability concerns. Like what you see ...

UnitedHealth Group CEO Andrew Witty earned $26.3 million in total compensation in 2024. The company disclosed pay information for its highest-paid employees in its annual proxy report published April ...

Medicare Advantage plans received $50 billion in payments between 2018 and 2021 for “questionable diagnoses” insurers added to medical records, a Wall Street Journal investigation published July 8 has ...