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Up, up, and away: Are double-digit health insurance rate increases ahead?
Twelve Affordable Care Act participating insurers submitted for rate increases in the coming year, data published by KFF show.
Up, up, and away: Are double-digit health insurance rate increases ahead?
It looks like another round of health insurance premium increases for millions of Floridians who get their insurance through the federal health care makretplaces. Twelve Affordable Care Act participating insurers submitted for rate increases in the coming year, data published by KFF show. AmeriHealth Caritas Florida filed for the largest increase, 39.14%. By contrast, Centene […]
Pennsylvania’s biggest Medicaid insurer is building political clout
Newtown Square-based AmeriHealth Caritas has boosted its political giving and lobbying. “That’s money that’s supposed to be going out to our hospitals,” said one Pennsylvania Republican lawmaker.
Medicare Advantage plans appear to be cutting benefits in 2027
The cuts are intended to boost insurers' margins.
Health insurance premiums estimated to increase upwards of 10%, analyses say
Health insurance premiums in Ohio are expected to increase by about 10.7%, according to an analysis from Healthinsurance.org based on health premiums in the individual market. Affordable Care Act Marketplace insurers are proposing a median premium increase of 15% in 2027, according to an analysis of insurers with publicly available filings by KFF, a nonprofit health policy research, polling, and news organization.
Health insurance premiums estimated to increased upwards of 10%, analyses say
Health insurance premiums in Ohio are expected to increase by about 10.7%, according to an analysis from Healthinsurance.org based on health premiums in the individual market. Affordable Care Act Marketplace insurers are proposing a median premium increase of 15% in 2027, according to an analysis of insurers with publicly available filings by KFF, a nonprofit health policy research, polling, and news organization.
California sanctions insurer after it cut assisted living coverage to thousands
State regulators found eight violations after Health Net's abrupt benefit cuts endangered vulnerable Medi-Cal patients.
Insurer markups only a small part of premium increases
Just cracking down on insurer overhead won't meaningfully bring down premiums.
How 2026 candidates are targeting health care "corruption"
They're accusing opponents of being in the pockets of drugmakers or health insurers.
The Market Forces Quietly Adding Thousands to Patient Bills
The true cost of “vertical integration”: patients directed to a higher-priced location for procedures. Or forced to buy from their insurer’s wholly owned pharmacy, which may not stock the drug prescribed or provide it at the lowest price.
California’s healthcare affordability office claims power to punish overspending hospitals
New penalties can fine California hospitals and insurers up to 125% of their overspending, with enforcement starting as early as 2028. Hospital executives argue that much of their spending, like drug costs and labor, is outside their control.
Opinion | Pulling our health care system back from grip of catastrophe
Readers react to a recent essay, raising concerns about the influence of insurers and Big Pharma and questions about how to pay for Medicare for All.
AXA scales governed AI infrastructure across global operations
The insurer's vendor-agnostic hub is already live in five entities, with AXA XL among those building claims and email applications
Idaho’s wildfires: The risk doesn’t end where insurance does for our small businesses
Business owners often have catastrophic losses that traditional insurers limit from coverage or exclude altogether, writes Dustin Carlson.
Aviva launches fronting unit amid rising reinsurer demand for MGA business
Aviva believes demand from reinsurers for MGA business and heightened scrutiny of some specialist fronting carriers will support growth at its newly created hybrid fronting unit, chief commercial director Matthew Gordon and head of global hybrid fronting John Andrews told The Insurer.
China to pump $54bn into state banks and insurers to boost economy
It comes as Beijing is aiming to reshape its economy in the face of a number of challenges.
Pa. Health insurers propose 2027 rate hikes as Pennsylvanians grapple with rising costs
Thousands of Pennsylvanians dropped their health plans purchased on the state’s Affordable Care Act marketplace, Pennie, after the expiration of federal subsidies more than doubled monthly costs. Now, many health insurers that offer plans through Pennie are proposing rate increases for 2027.
Like everything else, health insurance rates will increase next year
State regulators say they denied $1.57 billion in premium increases proposed by health insurers offering individual and small business plans in the state next year.
New York health premiums climb despite state pushback on insurers
The Department of Financial Services approved a 6% average rate increase for the individual market and an 8% average hike for small-group plans.
NY health insurance rate hikes approved. How much you will pay in 2027
NY's Department of Financial Services says it rejected higher rate hikes sought by insurers, saving consumers $1.6B via lower approved rate increases.
California's healthcare affordability office claims power to punish overspending hospitals
The state's new penalty framework could fine hospitals and insurers up to 125% of overspending, with enforcement starting as early as 2028.
Beyond Finger Pointing: The Fight to Lower Health Care Costs
In a live conversation recorded at Aspen Ideas: Health, executives from a hospital, insurer and pharmacy join a top Trump administration official and leading health economist to discuss how to collectively bring down health care costs.
Health insurer Anthem targeted in lawsuit over air ambulance claims
PHI Health says the Indianapolis-based insurer is ignoring claims awards that are supposed to be binding under the federal No Surprises Act.
Employer Health Costs Are Expected to Spike in 2027
A new U.S. survey anticipates an average increase of 11 percent unless benefits are cut, the highest rate in decades. Other findings also predict a sharp rise.
Employer Health Costs Are Expected to Spike in 2027
A new U.S. survey anticipates an average increase of 11 percent unless benefits are cut, the highest rate in decades. Other findings also predict a sharp rise.
Johns Hopkins Health Plans taps interim CEO as it searches for successor
Daniel Chojnowski, JHHP’s current CFO, will provide stability so that the Baltimore-area insurer can recruit full-time for its next chief executive, the company said.
California lawmakers strike wildfire deal that leaves out most of Newsom’s big demands
Newsom backed off his plan to ease utilities' wildfire costs after Democratic lawmakers refused to shift the burden to insurers and survivors
Examining LGBTQ+ Adults’ Experiences with Health Care Costs and Access
This report examines how LGBTQ+ adults' experiences with health care costs and access compare to those of non-LGBTQ+ adults, finding that LGBTQ+ adults face significantly greater challenges affording and accessing care.
Prudential posts 8% rise in first-half new business profit, expands share buyback
Insurer Prudential , reported first-half new business profit largely in line with market expectations on Thursday, driven by strong growth in Hong Kong, Malaysia and Singapore, and expanded its ongoing share repurchase program by $300 million.
Her Breast MRI Was Approved, But That Didn’t Mean Her Insurance Would Pay
Stephanie Halver’s doctor recommended she get a breast MRI, partly because of her family’s cancer history. Her insurer approved the scan, but unlike mammograms, breast MRIs aren’t universally covered as zero-cost preventive care.
Her health insurer approved a breast MRI. She still owed $1,200.
Unlike mammograms, breast MRIs aren’t universally covered as zero-cost preventive care.
As Health Insurers Gain Handle On Costs, Stocks Are Soaring Again
Following a parade of health insurance company earnings reports this summer, stocks are rising and costs appear to be under control — for now.
Los Angeles Dodgers Owner’s Troubles Roil Insurance World
Federal investigations of Mark Walter’s business empire have put a spotlight on private-equity-owned insurers that invest premiums in risky assets.
Epic launches real-time prior authorization at four health systems
Real-time prior auth checks with United Healthcare, Network Health, Aetna, and other health insurers are being done through Epic’s API called Coverage Requirements Discovery.
AIA Group's first-half new business value rises 10%
Insurer AIA Group on Thursday posted a 10% jump in half-year value of new business (VONB), backed by growth across all distribution channels and segments, excluding Thailand.
Providence Health Plan to close completely after Medicare Advantage deal falls through
The regional health plan was in talks with an unnamed national insurer to keep its MA plans afloat. But the agreement sputtered “despite significant effort on all sides,” a Providence spokesperson said.
Providence to end Medicare Advantage plans after deal with national insurer fails
Roughly 55,000 Oregonians will need to find new Medicare coverage next year after Providence's proposed sale collapsed.
Green Mountain Care Board set modest rate increases for 2027 Vermont health insurance marketplace plans
This year’s rates represent efforts towards keeping premiums lower, while still aiming to account for insurers’ ability to pay out the costs of healthcare in Vermont.
Walter’s insurer to slash scrutinized loans by $6.5 billion
The move whittles down the more than $20 billion of loans that insurers controlled by Walter previously said should have been labeled as affiliated but weren’t.
Your business has flooded. What do you do now?
IBJ spoke with Jacob Houk, president of Indianapolis-based Hays & Sons, a property restoration company, about the first steps to take — from documenting damage to contacting insurers and finding a qualified restoration company.
‘There is nothing else’: Californians face eviction as insurer cancels assisted living benefit
Thousands of California families are facing abrupt cancellations of coverage for assisted living as insurer Health Net adjusts the benefits it provides.
Health Insurer Centene’s Chief Financial Officer To Step Down
Centene, one of the nation’s largest providers of Obamacare, said chief financial officer Drew Asher plans to step down as chief financial officer in December.
In Idaho, an insurer says health care costs may rise after hospital taps Congress’s billing tool
Blue Cross argues that Post Falls ER & Hospital is out-of-network for insurers and relies on an arbitration process created by Congress.
Insurer reviews get an automation boost
The federal government's effort to modernize prior authorization is beginning to show up in the software doctors use.
‘I Hate Losing’: Walter Rushes Makeover as DOJ Probes His Empire
The CEO of Guggenheim Partners and owner of the LA Dodgers flipped the Lakers within a year and has explored other steps to pay down loans from his insurers.
Exclusive | Prosecutors Focus on Four Businesses Tied to Dodgers Owner Mark Walter
Proceeds from loans made by Walter’s insurers passed through firms purportedly controlled by each of these four entities.
Health insurance rates expected to climb again for Minnesotans in 2027
Thousands of Minnesotans could see higher health insurance costs next year as insurers seek rate increases across individual and small-group markets.
Outrage at UnitedHealth and Other Insurers Persists After Brian Thompson Killing
Higher premiums and rising medical bills have intensified Americans’ dissatisfaction with their medical coverage.
Maryland’s new hospital payment model could drive up health insurance costs
Insurers warn the transition could shift more expenses to private payers and consumers while testing the stability of the state’s unique health care system.
New York State Department of Financial Services Introduces Guidance and Proposed Regulation to Strengthen New York’s Surprise Medical Bill Resolution Process
New York State Department of Financial Services (DFS) Acting Superintendent Kaitlin Asrow today issued new guidance to health insurers, health care providers, and independent dispute resolution (“IDR”) entities implementing improvements to the IDR process signed into law by Governor Hochul as a part of her Fiscal Year 2026-2027 (FY27) Budget.
Health insurers are dumping Medicare Advantage plans. Here’s how many seniors could be affected.
Older adults could be scrambling for new health coverage next year, especially in rural markets that have fewer insurance choices.
The U.S. Healthcare System is Already Mostly Socialized
Now that Abdul El-Sayed is the Democratic nominee for Michigan’s open Senate seat, the outcome of this crucial race will depend mainly on two things: Whether Republicans succeed in demonizing El-Sayed because he’s brown and a Muslim, and whether they succeed in demonizing him as a left-wing radical. I will defer for the now the question of whether bigotry will be effective this year, although I will address it another day. What I want to address instead is El-Sayed’s signature issue — healthcare. Yes, El-Sayed advocates Medicare for All, a position the usual suspects denounce as “socialism.” I will get to the politics of his stance soon. Today, however, I want to talk about the substance. We should be clear that El-Sayed doesn’t even call himself a socialist. On the contrary, he explicitly disavows the label, saying “I’m a capitalist who just knows about capitalism”. In fact, as I explained in a previous post, the policies that El-Sayed advocates qualify him as a social democrat, not a socialist. Still, El-Sayed advocates a system under which the government would pay almost all medical expenses. Isn’t that socialism? Well, if that is the criterion then much of U.S. healthcare is already socialist. In fact, the government’s role is so large that U.S. healthcare is better described as partially privatized socialism than as anything resembling a free market. Let’s start with the raw numbers on health insurance, which pays the bulk of Americans’ medical expenses. Americans receive health insurance either from private companies or from public programs, overwhelmingly Medicare and Medicaid. Here’s what the breakdown of coverage and spending between private and public looked like in 2024: While a majority of Americans with health insurance get it from private companies, well over 100 million of us are covered by government programs instead. And these government programs pay more total dollars for medical bills than the private insurers do. Why do government programs that cover a minority of the population account for a majority of health insurers’ outlays? Mainly because Medicare covers seniors, and we’re expensive. Also, while Medicaid covers many younger Americans, disabled and elderly beneficiaries account for most of its spending. Even by the raw numbers, then, U.S. health insurance looks as much public as private. But that understates the government’s role: Private health insurance in the U.S. is both highly regulated and heavily subsidized. This is obviously true for the insurance coverage purchased by tens of millions of Americans through the exchanges established by the Affordable Care Act. But employment-based health insurance, which covers 161 million Americans, is far more of a government creation than most people realize. For employment-based insurance exists largely because of huge implicit government subsidies that come with major strings attached. Here’s how that works. If your employer pays you $10,000, that’s taxable income. But if your employer pays $10,000 toward a company health insurance plan that meets certain criteria, it isn’t taxable. That’s a huge effective subsidy, running at more than $300 billion a year. Take that subsidy into account, along with the more than $100 billion per year spent subsidizing policies purchased under the ACA, as well as the outlays on Medicare and Medicaid, and net effect is that the government pays for more than two-thirds of Americans’ health insurance. Granted, there are strings attached. Roughly speaking, employment-based health plans can’t discriminate based on medical history — that is, they can’t deny coverage to employees with pre-existing conditions — and they also can’t offer the plans only to highly compensated employees — a health plan that is only for the C-suite is considered taxable income. So given the restrictions of the federal tax code, employer-based health insurance is a lot like Obamacare, which also prohibits discrimination based on medical history and provides subsidies to make insurance affordable to lower-paid workers. The fact is that virtually all of private healthcare insurance is already well under some form of government control through regulation and tax subsidies. How should we think about this system? First of all, is Medicare socialist? Don’t tell anyone, but the way Medicare operates — it covers every senior’s medical expenses, whatever they turn out to be, while being funded by taxes that depend on one’s income — could be summarized by the old Marxist slogan “From each according to his ability, to each according to his need.” And back in 1961, when Ronald Reagan was the face of a last-ditch effort by the American Medical Association to block the creation of Medicare, he denounced Medicare as “socialized medicine” and warned that it would destroy our freedom. In reality, American freedom survived until Jan. 20, 2025, while Medicare is immensely popular, with an 82 percent favorable rating in the most recent KFF survey. Medicaid, government health insurance for lower-income Americans, comes in at 73 percent. This is in sharp contrast to public views about private insurers, who are widely disliked if not hated and accused of denying essential care. Furthermore, if Medicare is socialism, then the whole U.S. health insurance system, with the government paying most of the bills and placing conditions on private insurers, is almost equally socialist. If you insist on calling any program the government pays for and regulates socialist, then U.S. healthcare would best be described as a partially privatized form of socialism. And one must ask, what is the point of the part that is privatized? Do private insurers add anything positive? Or are they simply parasites, skimming off money that could have been paying for care? The case for viewing insurers as parasites is strong. Many Medicare benefits are now delivered via Medicare Advantage, that is, plans paid for by the government but run through insurance companies. MedPAC, an independent advisory commission, estimates that last year Medicare Advantage plans were overpaid by $84 billion, thanks to practices such as “upcoding,” in which patients’ health problems are overstated to get larger sums from Medicare. Assessing the waste from employer-based insurance is harder, but most evidence suggests that private insurers have substantially higher administrative costs than Medicare does. Furthermore, the complexity of private insurance, with multiple payers all trying to deny care when they can, is a huge burden both on providers — doctors, nurses, and hospitals — and on patients. What do private insurers offer to compensate for these costs? One must go through intellectual contortions to avoid the conclusion that they are, in fact, parasites. Which brings me back to El-Sayed. In supporting Medicare for All, he’s basically calling for an end to the partial, parasitic privatization of a healthcare system that is already hugely dependent on public funding. When one looks at it that way, it’s not at all a radical proposal. Admittedly, the political lift requires overcoming the opposition to higher taxes to pay for Medicare for All. Political realism rather than economics was the reason I and many other progressives supported Obamacare, with all its complexities, rather than demanding an immediate move to Medicare for All. But the political calculus may very well have shifted since the 2000s, as Americans are fed up with a system of unaffordable premiums, rampant claim denials, and byzantine claim administration. Moreover, funding healthcare insurance through taxation would allow for a much more progressive distribution of the cost. That is, compared to the present system, middle-income households would pay less as high-income households would pay more. And the U.S. would stop wasting large sums on pointless administrative costs. So let’s be clear: El-Sayed’s healthcare platform is perfectly reasonable on the merits of cost, fairness and health efficacy. And with private insurers never more hated, while millions of Americans are losing their health insurance, 2026 may be its time. MUSICAL CODA
AGO Q2 Deep Dive: New Business Growth and Investment Volatility Shape Results
Financial guaranty insurer Assured Guaranty (NYSE:AGO) fell short of the market’s revenue expectations in Q2 CY2026, with sales falling 30.6% year on year to $195 million. Its non-GAAP profit of $1.23 per share was 23.2% below analysts’ consensus estimates.
Ban prior auth? And hospitals cut jobs
We examine a call to reform how health insurers do business, and a look at the impact of 340B restrictions.
Unipol seeks over 30% of future BPER-MPS business
The insurer has reached an agreement to purchase a business made up of about 635 MPS branches.
Insurers want to hike small businesses’ premiums by 14% next year: KFF
It’s becoming harder for small employers to offer insurance coverage, and another year of double-digit premium increases won’t help. Insurers say their hands are tied.
How Much and Why Premiums Are Going Up for Small Businesses in 2027
Small businesses that offer health insurance to their employees could see health costs rise in 2027, according to an analysis of preliminary rate filings from all 50 states and DC. Nearly 300 insurers offering small group coverage reported a median proposed premium increase of 14% for next year.
How much and why premiums are going up for small businesses in 2027 - Peterson-KFF Health System Tracker
Each year, health insurers submit rate filings to state regulators outlining their expectations for the coming year and proposing premium changes for Affordable Care Act (ACA)-compliant plans. This analysis examines filings in the small group market, which covers plans offered to small businesses (generally with 50 or fewer full-time equivalent employees). Some of this coverage is […]
Oscar Health Stock Has Doubled This Year. The ACA Insurer Reports Thursday.
Oscar Health reports second-quarter earnings Thursday morning. The results should show trends in its Affordable Care Act membership.
Singapore's UOB to shed asset management arm for $433.5 million to focus on wealth management
Singapore lender United Overseas Bank said on Wednesday that it had agreed to sell its asset management business to a unit of European insurer Allianz for S$555 million ($433.49 million).
Hinson introduces bill requiring insurers to disclose healthcare claim denial data
How often does your health insurance company deny claims? An Iowa congresswoman has introduced a bill that would require insurers to make that information public.
The Hartford to acquire Equitable’s employee benefits business
Property and casualty insurer The Hartford has entered into an agreement to acquire Equitable’s employee benefits business, the company announced Tuesday.
After contract dispute with East Idaho hospital, Legislature’s task force to study health insurers
Idaho Republican legislative leaders founded a new working group of lawmakers tasked with studying health insurance companies.
Sentara Health ends contract with Anthem over reimbursement rates
HAMPTON ROADS, Va. (WAVY) — Sentara Health has terminated its contract with insurer Anthem Blue Cross Blue Shield following a dispute over reimbursement rates. While Sentara Health requested a 6.2%…
Salem Health-Santiam emergency merger request draws mixed feedback from Regence, lawmakers and patients
During a two-week public comment period, the Oregon Health Authority gathered almost 300 public responses from Oregon’s largest health insurer, local lawmakers, hospital employees and several patients weighing in on a recent emergency merger request.
South Florida Medicaid families say kids with autism are losing therapy as state cuts and insurer pause add up
Alignment Healthcare Turns Profit As Insurer Gets Handle On Costs
Alignment Healthcare’s second quarter net income more than doubled to $36.6 million compared to the year ago period as costs in its Medicare Advantage plans eased.
HHS Secretary Kennedy Secures Pledge from Insurers, Medical Societies, and Providers to Advance National Behavioral Health Quality and Best Practices
Secretary Robert F. Kennedy, Jr. met with dozens of healthcare leaders who have pledged to strengthen the nation’s behavioral health system.
National healthcare groups join HHS effort to improve behavioral health, addiction care
The Health and Human Services Secretary today announced that dozens of insurers, medical societies, healthcare providers and behavioral health experts have pledged to strengthen the nation’s behavioral health system by advancing best practices aimed at improving mental health and addiction treatment.
Centene Reports $1 Billion Profit As Health Insurer’s Costs Ease
Health insurer Centene’s net income eclipsed $1 billion in the second quarter as the company is getting a better handle on rising costs of people in its health plans.
Senate Introduces Bill To Shield Insurers Covering Cannabis Businesses
Two Senators have introduced a bipartisan bill that would provide a safe harbor for insurance companies that cover legal cannabis businesses.
Coalition's cyber risk management platform new feature to help prevent business email compromise
Coalition, and active insurer focused on preventing digital risks, has launched Login Security, a new feature in its cyber risk management platform,
Health care bills are opaque. Congress is trying to change that, again.
Bipartisan lawmakers are advancing bills that would require hospitals and insurers to disclose their prices.
High drug prices anger the public. Steep hospital costs elicit yawns. Why is that?
How is it that pharma companies—and, by extension, health insurers that cover drugs—have targets on their backs while hospitals live like wallflowers?
Pennsylvania ACA health insurers propose double-digit premium increases for 2027
Nearly all health insurance companies that sell individual plans on Pennsylvania’s Affordable Care Act marketplace are asking for average premium increases ranging from 10.5% to as high as 41%
Requested 2027 Affordable Care Act rate increases average 17.1% in Pennsylvania
Health insurers serving Pennsylvanians with coverage under the Affordable Care Act are proposing to increase premiums by an average of 17.1% for individuals...
Pennsylvania ACA health insurers propose double-digit premium increases for 2027
The total average premium rate increase request in the individual market is 17%. Some insurers like Ambetter are requesting an average increase of 40%.
Health insurance costs leave older Mississippians without care
Because insurers can charge people in their 60s premiums three times higher than those in their 20s, many older adults enrolled under the Affordable Care Act saw some of the steepest price increases this year without the income-based subsidies.
CMS appeals court ruling on Medicare Advantage star rating methodology as insurers file lawsuits
The agency announced its appeal of a court ruling it lost to Clover Health, which resulted in the agency recalculating the grades it gave to the payer’s Medicare Part C plans. Other insurers are now asking for the same redo, spurring CMS to appeal the initial ruling.
‘Unacceptable’: San Francisco Officials Question Kaiser’s Approach to AI in Mental Health
In a hearing, therapists decried Kaiser’s proposed contract terms during labor negotiations, which they argued would undermine mental health services. The largest health insurer for city employees said it remains focused on providing timely, high-quality mental health services.
Why aren’t health insurers rushing to cover GLP-1 prescriptions for beneficial weight loss?
In theory, GLP-1 receptor agonist drugs like semaglutide and tirzepatide should save a lot of money for the health insurers that pay for them. As it turns out, the lived reality is not keeping pace with the idealistic expectation.
Insurers cut prices in hunt for new oil and gas business
Projects in safe regions become more highly prized and send premiums down as competition rises
Mark Walter’s insurers, Guggenheim probed by prosecutors
Last year, federal prosecutors began examining Guggenheim’s $362 billion money management arm.
Need surgery or prescriptions? How to deal with prior authorization challenges
Prior authorization: Why insurers require approval for some drugs, tests and procedures.
Health insurers hedge on Trump-backed pledge to improve denials process
Patients, their advocates, and clinicians say little has improved.
Clover Health hit with data breach
The insurer, which disclosed the breach in a securities filing late last week, doesn’t yet know what type of data was exposed or how many people may have been impacted.
Michigan health insurers seek large rate hikes for 2027
The proposed rate hikes are slightly smaller than last year's, but still in the double-digits for many plans.
Watch: Why Health Insurers Are Winning, But Hospitals Are Losing
Live updates on markets and the top finance, economics and business stories. Plus the latest on oil prices, the Dow, S&P 500 and Nasdaq.
Iowa health insurers propose premium increases for ACA customers
Iowa health insurance companies are proposing another round of premium increases for Affordable Care Act customers in 2027.
Insurers Hedge on Trump-Backed Pledge To Improve Denials Process
By Lauren Sausser and Renuka Rayasam | KFF Health News One year after the Trump administration announced that dozens of health insurers had signed a six-part pledge promising to reduce barriers to doctor-recommended care, some insurers now say they won’t implement all the promised initiatives.
ACA and Medicaid changes hang over health earnings
Insurers and health systems already are feeling the effects of significant enrollment drops and changes in who's paying for care.
Insurers Hedge on Trump-Backed Pledge To Improve Denials Process
Last year, the Trump administration announced a voluntary commitment by dozens of insurers to improve a process called prior authorization, which often requires patients or their doctors to seek approval before proceeding with treatment. Less than one year later, some insurers chose not to sign the pledge’s update.
NC State Health Plan overhauls insurer, hospital network and premiums. What to know
State employees will see numerous changes.
Two more insurers sue CMS over Medicare Advantage star rating methodology
The lawsuits come days after Elevance Health filed a complaint of its own, asking a court to compel the Centers for Medicare & Medicaid Services to remain consistent in how it doles out stars.
Senators press UnitedHealthcare and other Medicare Advantage giants over denied care
Demand for more information on prior authorization rules follows a federal watchdog report in June and growing pressure on health insurers grows.
Why Elevance Earnings Gave Health Insurance Stocks A Cold; UNH Up Next
Elevance Health stock dived and inflected UNH and other S&P 500 health insurers after it easily beat Q2 forecasts, but only slightly hiked its outlook.