The high cost of GLP-1 drugs have thrown a curveball at payer strategy. Employers providing health insurance are also grappling with the fallout. From January to July, Davis Research interviewed ...

James Brown, Montana state auditor and commissioner of securities and insurance, launched an investigation into Blue Cross and Blue Shield of Montana, a subsidiary of Health Care Service Corp., after ...

Molina Healthcare reported a 72% decline in net income for the third quarter and has reduced its adjusted annual earnings guidance for the third time this year to $14 a share as the company faces ...

Johnson City, Tenn.-based Ballad Health is suing UnitedHealth Group for alleged “Medicare Advantage manipulation” that has led to denied care and underpayment for services. The lawsuit was filed Oct.

Elevance Health is working to mitigate rising costs in its Medicaid business amid what executives describe as a challenging year ahead. The company reported its third-quarter earnings on Oct. 21, with ...

Coverage for drugs recently approved by the FDA can take months to solidify, according to the Institute for Clinical and Economic Review’s “Launch Price and Access Report,” published Oct. 23.

UnitedHealth’s Optum has launched Optum Real, a real-time claims system designed to streamline the claims and reimbursement process by providing instant coverage validation for providers. “Optum Real ...

CMS Administrator Mehmet Oz, MD, told FOX 5 Atlanta that the government shutdown is not affecting Medicare open enrollment. “The shutdown is a problem for lots of parts of government but not for ...

California Gov. Gavin Newsom vetoed a state bill that would have required health insurance policies with outpatient prescription drug benefits to cover up to a year of hormone therapy, according to an ...

The Cigna Group and CVS Health said they will offer discounted infertility medications through TrumpRx, beginning in January 2026. Cigna’s Evernorth pharmacies — Freedom Fertility and VFP Pharmacy ...

Oscar Health is launching an AI agent and a menopause health program in 2026, according to an Oct. 20 news release. OpenAI will power AI agent Oswell, providing on-demand support for members and ...

Emerging technologies like generative AI and predictive analytics will be a difference maker in terms of health plans operating more efficiently in the very near future. Becker’s connected with ten ...