The percentage of ACA enrollees who failed to make payments rose significantly in January, The Wall Street Journal reported April 15. Four things to know: 1. The Journal’s report is based on analysis ...

Aledade has named Oraida Roman chief commercial officer to lead the company’s strategy for health plan partnerships. Ms. Roman brings 25 years of healthcare strategy and operations experience to the ...

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory ...

Blue Cross Blue Shield plans faced widespread financial pressure in 2025, with several major insurers posting operating losses as medical and pharmacy costs continue to climb. The struggles played out ...

Molina Healthcare CEO Joseph Zubretsky will become the longest-tenured chief executive among big payers when Cigna’s David Cordani retires on July 1. Mr. Zubretsky narrowly edges out Elevance’s Gail ...

In early February, Republican lawmakers in Oklahoma introduced a state bill and joint resolution that could shake up the future of Medicaid expansion. The April 6 version of HB 4440 poses a state ...

Washington, D.C. has the highest average monthly premium for ACA enrollees who received advance premium tax credits in 2026, while Texas has the lowest, according to a KFF analysis. After enhanced ...

Priority Health is estimated to have collected at least $4.4 million in Medicare Advantage overpayments throughout 2018 and 2019, according to a March audit from the HHS Office of the Inspector ...

The day after CMS released its final 2027 Medicare Advantage and Part D payment rule, Chris Klomp, director of Medicare and deputy administrator at the agency, sat down with Health Tech Nerds Radio ...

Virginia Democratic Gov. Abigail Spanberger signed HB736 into law April 6, furthering prior authorization reform in the state. Effective in 2027, the law establishes a minimum duration requirement.