Payments from the $2.67 billion Blue Cross Blue Shield antitrust settlement began rolling out May 11, more than a decade after the original lawsuit was filed. Six things to know: 1. The lawsuits ...

UnitedHealth Group is monitoring some Optum staff’s AI use, sources familiar with the matter told Bloomberg. The company is checking whether services division workers query tools such as ChatGPT and ...

Anthem Blue Cross and Blue Shield has been awarded a contract to participate in Wisconsin’s Family Care program, a managed Medicaid long-term services and supports program. Anthem is the first ...

The insurance industry has shed nearly 59,000 jobs since the end of 2024, according to new data from the Bureau of Labor Statistics. 1. Insurance carriers and related activities employed approximately ...

In 2022, UnitedHealthcare’s total cost of care — based on commercial large group PPO health plan claim costs — was 13.9% lower than the MarketScan benchmark, according to a March Milliman report ...

CMS has finalized a broad set of changes to the ACA marketplace that will affect how insurers design plans, how eligibility is verified, and who qualifies for federal subsidies. The final rule, ...

A federal jury in the Southern District of Florida convicted the founder and owner of HealthSplash for his role in a scheme that prosecutors said fraudulently billed Medicare and other federal ...

Two manufacturers filed a lawsuit against Blue Cross and Blue Shield of Texas over alleged prescription drug rebate fraud, according to an April complaint. Texas State Rep. James Frank, a Republican, ...

Payers nationwide are striving to operate more efficiently, while maintaining high levels of member and provider satisfaction. Success stems from reducing the friction and costs associated with core ...

Iowa Republican Gov. Kim Reynolds signed a law May 13 that enacts prior authorization reforms and prohibits insurers from penalizing providers for out-of-network referrals, according to the Iowa ...

Maine is installing a mandatory nutrition program for state employees using GLP-1s for weight loss, according to the state’s Office of Employee Health, Wellness and Workers’ Compensation. As GLP-1 ...