CVS Health CEO David Joyner is skeptical as to whether the evidence backs GLP-1 investment right now. “Everybody intuitively believes these medications create long-term health benefits, but the ...

CMS is proposing to create a new payment pathway for algorithm-driven diagnostic software, including AI tools, as part of its 2027 Hospital Outpatient Prospective Payment System and Ambulatory Surgery ...

UnitedHealth Group received the largest total Medicare Advantage bonus payments in 2026, pulling in $3.9 billion as total program spending reached $13.4 billion across all MA plans, according to a KFF ...

Mergers and acquisitions for payers, their subsidiaries and related businesses have been in full swing throughout 2026. The year has included nonprofit affiliations and large payers refining their ...

Blue Cross and Blue Shield of Louisiana has lost its most recent bid challenging how CMS calculated its 2025 Medicare Advantage star rating. On June 26, the U.S. Court of Appeals for the D.C. Circuit ...

CMS plans to cut what Medicare pays hospitals for drugs bought through the 340B program and push site-neutral payment into a new category of outpatient services, two proposals that together would pull ...

Optum Financial closed its acquisition of Alegeus Technologies, a platform offering benefits administration for consumer-directed healthcare accounts, July 2. Optum Financial is the financial services ...

John Prince, who spent nearly two decades in executive roles at Optum before moving into healthcare private equity, died June 28. He was 59. Mr. Prince died in Vero Beach, Fla., after a battle with ...

North Carolina employee health plan switches back to BCBS + we explore the term ‘payvider’ July 13, 2026 1. Blue Cross regains North Carolina’s state health plan contracts while Aetna loses out Full ...

Eight insurers have announced they will stop offering individual ACA marketplace plans, either nationally or in specific states, after the 2026 plan year. The withdrawals come amid declining ...

California has the most residents enrolled in self-insured health plans through an employer, while Wyoming has the least, according to a health coverage report published by insurance trade group AHIP ...

Indianapolis-based Elevance Health has reached a settlement with a former executive who left the company for a similar role at Long Beach, Calif.-based Molina Healthcare. According to a Nov. 2 notice ...