SCROLL NEWS / DISCOVERY
Search headlines
Find the stories shaping the conversation.
Results for " insurer " 456 found 🔀 AI-powered Shuffle
Medicaid work rules lift Molina Healthcare’s pay, CEO says
Molina Healthcare says six states are boosting the Medicaid insurers pay next year in part because of work requirements and more frequent eligibility checks.
Ategrity Specialty’s underwriting gains offset by investment losses
Excess and surplus lines insurer Ategrity Specialty reported lower third-quarter profits Wednesday despite improved underwriting results.
HDI Global promotes Sheena Williams to lead sport, leisure and entertainment globally
Williams, who joined HDI in 2019, will connect the insurer’s sport, leisure and entertainment expertise across its international offices
HDI Global promotes Sheena Williams to lead sport, leisure and entertainment globally
Williams, who joined HDI in 2019, will connect the insurer’s sport, leisure and entertainment expertise across its international offices
Billionaires turned life insurers into cash machines. Now comes the reckoning.
A lucrative Wall Street strategy has funneled billions from life insurers into their owners' other ventures. Now tougher rules and questions about investment risks are putting the model to the test.
Why big insurers are investing in shared provider data
Health insurance partnerships and ventures aim to clean up messy provider directories.
What new insurer entrants think they can do differently
New insurer entrants are promising lower costs and closer care coordination, but analysts warn becoming a health plan remains one of healthcare’s toughest plays.
Centene, Oscar Health outline 2027 ACA marketplace plans
Open enrollment for the Affordable Care Act's marketplaces opens on Nov. 1, and with more turbulence on deck, insurers are offering a look at their plans for the coming year. | Open enrollment for the Affordable Care Act's marketplaces begins on Nov. 1, and with more turbulence on deck, insurers are offering a look at their plans for the coming year.
Experts say your health insurance should cover gym memberships to prevent cancer from coming back. Why don't they?
Fitness programs are increasingly viewed as good cancer fighters, but insurers limit the coverage.
Insurer AmTrust plans 300m City of London tower beside the Gherkin
Canary Wharf veteran Sir George Iacobescu is steering plans to swap the insurer’s London base for one of the tallest buildings in the Square Mile
AmTrust announces plans to be bigger than Lloyd’s in London
The New York specialty insurer has hired Canary Wharf veteran Sir George Iacobescu to plan a skyscraper that would rival the Shard - and the project says a lot about how much London matters to its business
Two sides of the same coin: turning science into better risk decisions
Two sides of the same coin: turning science into better risk decisions
Excellus earns four-star rating for commercial health plans
UTICA — Excellus BlueCross BlueShield has earned a four-star rating from the National Committee for Quality Assurance for its commercial health plans, the insurer announced Oct. 5.
Health insurers balk at paying for newborns' RSV immunization in the hospital
Many infants are leaving the hospital without getting immunized against RSV. Why? Because many insurance companies won't pay for the shots while the newborn is in the hospital.
Can AI solve our mental health access problem?
Last week I asked you what worries you most about AI in health. It was close, but your top answer was “AI giving bad health advice.” Last week’s poll results: You’re in good company. This concern was top of mind at a conference I joined at Stanford last week, where researchers, clinicians, and people who build AI systems spent a day debating trust and safety in health AI. Stepping back, I’m also hearing your emerging concerns about AI’s impact on our well-being generally. I see this as a matter of public health, and we’ll take it in pieces as we learn together. Today we’ll focus on AI chatbots used for therapy for mental health. Early this month, Governor Newsom vetoed Senate Bill 903, California’s most ambitious attempt to regulate AI use for mental health. It’s at the center of active debate, and raises the questions patients, family members, citizens, and voters will face as AI moves deeper into health care. Let’s work through it. What is “AI-based therapy”? It’s really two things: purpose-built mental health apps designed to deliver structured support, and general chatbots like ChatGPT, Claude, and Gemini that people increasingly use for emotional support—even if they weren’t built for it. Spoiler alert: I don’t know whether the shift toward AI therapy is good or bad. The evidence isn’t there yet. But I do know it’s already happening, and I have some ideas about how we can roll it out with safety in mind. The therapy dilemma, in a nutshell Mental health challenges are common, and strain health and well-being across populations. Therapy (interactive dialogue with a trained, empathetic practitioner) helps many people heal. The demand for licensed therapists far exceeds the supply in California, and AI-based therapy can narrow that gap. AI-based therapy remains novel, unproven, and not well tested. Right off the bat, we can see we’re dealing with trade-offs here. Since the main driver of demand for therapy from a robot is lack of access to therapy from a human, we’ll start there. It’s too hard to find and afford a human therapist California is short roughly 55,000 licensed, non-prescribing therapists and counselors, about 40% of what we need. Psychiatrists, who rely on talk therapy as a complement to prescribed medications, are even more scarce. Eight counties have none, and density ranges from 1.7 per 100,000 residents in San Benito County, to 68.1 in Marin County. My wife is a psychiatrist in Marin, and even here access is tight. If it’s hard in the best-supplied county, imagine rural Sierra County, or the San Joaquin Valley. In 2024, more than half of Californians who tried to make a mental health appointment struggled to find a provider who took their insurance, compared with 14% for physical health care. When Senate staff posed as “secret shopper” patients and called 120 mental health providers in Medicare Advantage networks, they landed an appointment less than once for every five tries. Insurers pay behavioral health clinicians about 22% less than medical and surgical clinicians for comparable office visits. On top of that, billing denials and prior authorizations hit hardest at the solo and small practices common in mental health. Psychiatrists opt out of Medicare at the highest rate of any specialty. In many places, a cash practice for therapy fills quickly with patients paying $250 or more an hour, with no insurance paperwork at all. Families who can pay cash find providers more easily. Those who rely on insurance, including Medi-Cal enrollees, older adults, rural residents, and non-English speakers, compete for what’s left. So we can’t pretend the human system works, and we can’t blame people for turning to AI for support when they’re in distress. AI is filling the gap It’s estimated that roughly a quarter of AI users use it for mental health support. If you have internet, it’s available 24/7, it’s cheap, and it speaks your language. Uninsured adults are about twice as likely as insured adults to do it (30% vs. 14%). It feels anonymous in ways that may enable people to ask things they’re unsure or embarrassed about. The largely hidden, personal use makes it hard to study whether it’s actually helping people with their mental health issues, but researchers are trying. Does AI therapy work? A 2026 analysis of nearly 40 randomized trials found chatbots showed a real but small reduction in depression symptoms. But most of these trials were compared to an alternative of no therapy, not a human therapist. So the benefit of AI therapy is probably real, but modest, and mostly untested against the alternative of human contact. We need more studies. Serious concerns OpenAI’s own estimate is that more than a million ChatGPT users each week show signs of suicidal planning or intent. These are high stakes encounters, and AI doesn’t always get it right. That’s partly because a chatbot can sound like a therapist, but it has no license, no duty of care, and it’s not clear who to hold accountable when it gets things wrong. AI is also designed to help users in whatever task they’re seeking to accomplish. People may feel like they’re getting therapy, but they’re mainly getting a convincing conversation. It’s easy for an AI companion to wander into gray areas, like playing along with “creative writing” that may be about the user’s own suicidal intent. Courts are driving safety conversations A wave of lawsuits have been filed on behalf of families claiming that chatbots pushed people they loved toward self-harm, including teens who died by suicide. The first settlements came this year. OpenAI is headquartered in San Francisco, and dozens of cases alleging that ChatGPT drove users to suicide or self-harm are now before a San Francisco judge. Character.ai has filed for bankruptcy after several states brought lawsuits accusing the chatbot of pushing dangerous content to kids. But the technology seems to be improving. Last month, an independent evaluation found that newer AI models “almost never endorse suicide.” That’s progress, but our societal appetite for even one preventable death is very low. So how do we move forward? Finding a middle ground Earlier this month the governor vetoed Senate Bill 903, a bill designed to place guardrails on the use of AI for therapy. The bill would have prohibited any AI-based platform from being advertised as psychotherapy, and would have required a licensed professional to review and approve each encounter where AI was used to support therapeutic decisions. Newsom called it overly broad, since even routine screening questions would have needed clinician sign-off. Knowing we’re already short on mental health providers, requiring human review of AI encounters may not relieve our access problems. Still, the answer isn’t no oversight. Here’s one feasible short term solution. Rather than reviewing each encounter, a licensed clinician can design the guardrails: what counts as a crisis, what triggers an immediate handoff to a human, and what gets sampled for audit each month. The AI runs inside that structure. Conversations get checked, failures get reported, and a real clinician owns the framework. Medicine already has models to learn from. The FDA process for rolling out newly approved medications is an example. After a product reaches patients, we keep watching for adverse events. Patient-facing AI needs the same “digital pharmacovigilance”: systematic tracking of harms, near misses, and the types of groups that get hurt and why. It’s also critical that users know that they can reach a human if they’re in crisis. Most chatbots now include messages like these: Bottom line The rush to use unproven AI tools for mental health support is mostly a workaround, a sign of a health system people can’t get into. We need better access to proven care from licensed clinicians. That takes reimbursement that makes accepting insurance viable, and a bigger workforce. But, built and tested well, AI could be part of the answer. It could be the 2 a.m. check-in when no one else is awake, or a way for patients to practice skills their therapist taught them. It could be the first step to get someone the right level of care, and take paperwork off clinicians’ plates so they spend more time with patients. None of this is simple. The SB 903 veto doesn’t end the debate, and the legislature will be back. In the meantime, those of us using these tools need to stay informed, ask hard questions, and hold the companies building them accountable. I’ll try to do my part, and we’ll keep learning together. Love,Matt P.S. If you or someone you know is struggling with mental health challenges, emotional distress, substance use problems, or just needs to talk, call or text 988- you’ll reach a real person— or chat at 988lifeline.org 24/7. Dr. Matt Willis is the author of Your Local Epidemiologist in California. A California native, he’s served as a primary care physician, CDC epidemiologist, and public health officer for Marin County, where he guided the pandemic response. He lives in Marin with his family and their dogs, Teddy and Ramona. Thank you Cynthia He, MD, PhD, and Parnika Saxena, MD, for their guidance in preparing this article. Cynthia works in an outpatient mental health clinic, treating patients who have Medi-Cal or, sometimes, no insurance. Parnika works in an inpatient psychiatric unit, treating patients with public or private insurance or self-pay ability. All opinions are their own and do not represent their employers.
Op-ed: Healthcare affordability debate misses insurers’ bad behavior
Premiums for small groups and individuals continue to skyrocket.
Centene CEO Sarah London says Medicaid patients are the last to benefit from health care innovation. She wants AI to change that
The head of the country’s largest Medicaid insurer wants to see AI impact medical access deserts, not just more billing.
Why insurers see risk in the new price transparency rule
Federal regulators finalized a rule that bars insurers from listing ghost rates, standardizes pricing files and could expose health plans to more scrutiny.
UnitedHealth Group tops estimates, hikes profit outlook as insurer manages high medical costs
UnitedHealth Group said it expects 2026 adjusted earnings of at least $20.50 per share, up from a previous outlook of $19.50 to $20.00 per share.
Alignment Health sues over 2027 star ratings
Alignment Healthcare’s lawsuit, based on previous years, is likely the first of more to come by other insurers that’s star ratings deteriorated.
Philly’s biggest health system and biggest insurer are trading jabs over a contract — and your coverage may be at stake
The region's largest health system contends its rates are 40% below the national average. One analyst says the payment rates are typical, and another points to hospital consolidation raising prices.
Minnesota health insurance premiums could jump as much as 21% in 2027
Without the reinsurance program, however, insurers' proposed average would have been 57.9%.
Michigan attorney general sues state’s Blue Cross health insurer
The federal court complaint says the company conspired with other Blue Cross plans to carve up territory and reduce competition.
Opinion | Screens Are Not the Problem
If we make screens the villain, then we let the people who control children’s health care — Congress, insurers and health systems — off the hook for their failures.
We’re Investigating Prior Authorization. Help ProPublica Understand Your Health Insurance Denial.
ProPublica is looking into the ways health insurers’ use of prior authorization impacts patients. We need your help to figure out if the process is still leading to delayed or missed treatments, tests, medical equipment or medication.
Physician Organizations Oppose Legislation That Gives Health Insurers Unilateral Control Over Out-of-Network Payments
The American Society of Anesthesiologists (ASA), American College of Emergency Physicians (ACEP) and American College of Radiology (ACR) today expressed strong opposition to the Lower Premiums, Faster Payments Act, legislation introduced by Rep. Frank Pallone (D-NJ) that would eliminate the independent dispute resolution (IDR) process established under the No Surprises Act (NSA) and replace it with payment rates calculated by health insurance companies.
A.M. Best revises Kroger captive rating outlook
A.M. Best said Thursday it revised the outlook on the long-term issuer credit ratings of Queen City Assurance and Vine Court Assurance, food retailer Kroger’s two Vermont-domiciled captive insurers…
The ripple effect: Why one business event rarely stays in one department
A single sanctions alert can move through compliance, legal, tax, and risk within hours. See why financial institutions and insurers need one trusted evidence base to keep up.
Consumer Groups Call on Congress to Act on Health Care Price Transparency, Beyond the Trump Administration’s Data Cleanup Announcement Today
Congress should pass legislation to create a federal standard in law that stops hospitals and insurers from skirting price transparency rules.
Watchdog seeks tighter oversight of private equity-backed insurers
European insurance regulators have urged EU member states to scrutinize private equity-backed insurers more closely, even before they are authorized to operate, The Royal Gazette reported.
A health reform both parties can get behind
Holding insurers accountable could be a point of agreement in a divided Washington
A bipartisan healthcare fix
Holding insurers accountable could be a point of agreement in a divided Washington
Why this startup is taking its AI to predict breast cancer risk directly to patients
A startup didn't want to wait for doctors and insurers to get behind its breast-cancer risk prediction AI. So it's going directly to patients.
Health spending at state’s top insurer surged 12%, led by GLP-1s
Healthcare spending growth at the state’s largest commercial insurer surged by nearly 12% in fiscal 2025, according to a new study that offers a jarring account of healthcare affordability wo…
Kettering Health will not renew contract with Medicare Advantage insurer Anthem
Kettering Health, one of the largest health systems in the Dayton region, will not renew its contract with private Medicare Advantage insurer Anthem, including Anthem MyCare, according to an announcement from Kettering Health.
Kettering Health will not renew contract with Medicare Advantage insurer Anthem
Kettering Health, one of the largest health systems in the Dayton region, will not renew its contract with private Medicare Advantage insurer Anthem, including Anthem MyCare, according to an announcement from Kettering Health.
Doctors, insurers sue Newsom over health insurance premium increases
Doctors and health insurers have filed suit alleging Gov. Gavin Newsom and the California Legislature violated the law when they approved a healthcare tax that could substantially increase insurance premiums.
Doctors, insurers sue Newsom over health insurance premium increases
Doctors and health insurers have filed suit alleging Gov. Gavin Newsom and the California Legislature violated the law when they approved a healthcare tax that could substantially increase insurance premiums.
Doctors, insurers sue Newsom over health insurance premium increases
Doctors and health insurers have filed suit alleging Gov. Gavin Newsom and the California Legislature violated the law when they approved a healthcare tax that could substantially increase insurance premiums
Doctors, Insurers Sue Newsom over Health Insurance Premium Increases
In June, lawmakers passed a healthcare tax that could increase premiums in order to combat federal Medicaid cuts.
Texas AG investigating second health insurer over delayed, denied care
The Texas attorney general's office has launched an investigation into UnitedHealth Group, citing reports of nursing home bribes and revoked coverage.
Some mental health providers hoping to serve Lane County's Oregon Health Plan members say they’re facing barriers
Aspire is one of a few healthcare providers in Lane County that told KLCC they want to – but haven’t been able to – get a contract with Lane County's Medicaid insurer Trillium. That’s left Aspire without access to its target population, and other providers considering scaling back their services.
Doctors, Insurers Sue Newsom Over Health Insurance Premium Increases
The California Medical Association and California Association of Health Plans say in a new lawsuit that a healthcare tax violates Proposition 35, passed by voters in 2024.
Doctors, insurers sue Newsom over health insurance premium increases
The California Medical Association and California Association of Health Plans say the tax violates Proposition 35, passed by voters in 2024.
Doctors, insurers sue Newsom over health insurance premium increases
In June, lawmakers passed a healthcare tax that could increase premiums in order to combat federal Medicaid cuts. A new lawsuit says that tax violates Proposition 35, passed by voters in 2024.
Health insurers paying millions in costs thanks to AI, report says
Those behind AI hospital billing services maintain the technological is a great help to healthcare.
Doctors, insurers sue Newsom over health insurance premium increases
Doctors and health insurers filed a lawsuit Friday alleging Gov. Gavin Newsom and the Legislature violated the law when they approved a healthcare tax that could substantially increase insurance premiums for Californians.
Doctors, insurers sue Newsom over health insurance premium increases
California lawmakers passed a healthcare tax in June that could increase premiums by $100 annually, but groups representing doctors and insurers say it violates the law.
ACA fraud crackdown removing 760,000 enrollees is squeezing health insurer profits
Shares of Centene, Molina, Elevance, and UnitedHealth have all fallen since Vice President JD Vance announced the removals last week
Analysis-Vance's fraud crackdown may raise costs for US health insurers, enrollees
NEW YORK, Oct 2 (Reuters) - A crackdown on Obamacare health insurance could raise prices for US consumers and insurers by removing healthy, low-cost enrollees, adding pressure to a shrinking marketplace.
Vance's fraud crackdown may raise costs for US health insurers, enrollees
A crackdown on Obamacare health insurance could raise prices for US consumers and insurers by removing healthy, low-cost enrollees, adding pressure to a shrinking marketplace.
Minnesotans face another year of steep health insurance hikes
All approved insurers will raise rates by at least 10 percent in Minnesota’s individual and small-group markets, as higher healthcare costs and expiring ACA tax credits put pressure on consumers.
Axa XL launches dedicated excess and surplus insurer
Bermuda-headquartered Axa XL has launched Axa XL Excess and Surplus Lines Insurance Company, an entity dedicated to wholesale broker partnerships, Reinsurance News reported. It will begin underwriting…
A major insurer on how it may replicate Medicare's chronic-care experiment
In this edition of STAT Health Tech: A California insurer on how it may replicate Medicare's tech-enabled chronic-care experiment.
AI is operating inside the healthcare billing system. Patients may already be paying the price
As AI codes billing inside hospitals, insurers say costs are being added to a bloated health care system. Blue Cross Blue Shield put the tab near $1 billion.
Mostly, Health Insurers Maintain Medicare Advantage Markets For 2027
Health insurers in privatized Medicare Advantage are for the most part maintaining their 2027 geographic footprints after a multi-year period of retrenchment.
UPMC completes acquisition of Ohio-based Trinity Health System
UPMC has officially expanded its footprint into Ohio. The Pittsburgh-based hospital system and insurer announced Wednesday that it had completed its acquisition of Trinity Health System from Chicago-based CommonSpirit Health. Trinity’s facilities will transfer to UPMC on Thursday. They include Trinity East and West campuses — both in Steubenville —
Axa XL to begin writing business through dedicated E&S insurer
Axa XL on Wednesday said it will begin writing business through its dedicated excess and surplus lines insurance company next year as it expands its U.S. wholesale operations.
Unrated reinsurers creep into $30bn US fronting market
AM Best flags credit risk as fronting carriers lean on unauthorized and offshore reinsurance to support MGA growth
3 takeaways from the MAHA Summit
Trump administration officials mingled with insurers, corporate executives and wellness influencers at the second Make America Healthy Again Summit. They discussed issues ranging from affordability…
CareSource, Molina to drop ACA Marketplace plans in Ohio in 2027
Dayton-based health insurer CareSource, along with another health insurer Molina Healthcare of Ohio, will not have plans offered through the Affordable Care Act Marketplace in Ohio in 2027.
Insurers cast themselves as MAHA allies
They'll emphasize overlapping interests with the movement.
Indonesia to inject $1.1 billion into health insurer BPJS Kesehatan
Indonesia's government will inject 20 trillion rupiah ($1.11 billion) into health insurer BPJS Kesehatan to help the state agency cover its deficit in 2026, according to a government statement.
Indonesia to inject $1.1 billion into health insurer BPJS Kesehatan
JAKARTA, Sept 29 () - Indonesia's government will inject 20 trillion rupiah ($1.11 billion) into health insurer BPJS Kesehatan to help the state agency cover its deficit in 2026, according to a government statement.
Another health insurer could end up out-of-network with Lehigh Valley Health Network
A contract dispute between Jefferson Health and Independence Blue Cross could leave Lehigh Valley patients out of network if no deal is reached by the end of the year.
The New Health Care Populism
Fear over rising costs is fueling bipartisan motivation to confront drug companies, insurers, and pharmacy benefit managers directly, with candidates on both sides racing to appear stronger on those areas than their opponents rather than litigating the Affordable Care Act. Republicans have been espe
Insurers claim AI is already increasing healthcare costs
Blue Cross Blue Shield says hospital use of AI tools led to an additional $942M in healthcare spending over a two-year period.
AI is already deciding whether or not people receive medical care
Health insurers are deploying AI to deny claims — and putting people’s health at risk.
The rise of the AI-native radiology practice
In this edition of STAT Health Tech: Radiology startups say owning a practice makes it easier to develop AI tools, and insurers oppose RPM changes.
AI tools generated nearly $1 billion in extra costs, Blue Cross insurers say
AI tools are raising health spending for insurers by nearly $1 billion over two years, as providers bill for more severe patient care, according to a Blue Cross Blue Shield Association study released Thursday.
Admiral to cut 500 UK jobs in £100m cost drive
The Cardiff-based insurer says the cuts are about efficiency, not AI. It is the latest in a run of UK insurers shrinking headcount as motor margins tighten
UnitedHealth, CVS push back on Medicare plan to curb remote patient monitoring
Some health insurers push back on a Medicare proposal that would disrupt how doctors can bill for remotely monitoring patients' health.
Chubb names two digital heads to fill Ringsted's former remit
The insurer has split its global digital business into separate technology and partnership tracks, each with its own dedicated head
Patients who fight health insurance denials often win
New data show how often insurers deny prior authorizations that can stall patients’ care — and how frequently those decisions get reversed.
From Watts to L.A. wildfires: The rise of California's troubled FAIR Plan
As leading insurers have retreated from California, one carrier has stepped in to fill the gap.
Elevance Health (ELV) Stock May Be Undervalued On Reaffirmed 2026 Guidance
Elevance Health has had a solid run over the past year, and the stock is now trading with recent news about its earnings outlook fresh in investors' minds. The core question is whether the current share price is warranted by the healthcare insurer's ability to keep converting its profit story into sustainable earnings per share. The stock has gained 33.6% over the past 12 months, which puts more weight on whether that move is supported by the underlying earnings power of the...
Nearly 300,000 Louisianans on Medicaid must soon choose a new plan. Here’s what to know.
People who have the Healthy Blue Medicaid plan in Louisiana will soon have to choose a new insurer after parent company Elevance Health chose to leave the state’s Medicaid market.
Another hit to the wallet: Why health care price increases are expected in 2027
Health insurance premiums are set to surge next year as insurers request rate increases driven by rising prescription costs and a changing pool of policyholders.
RFK Jr. Names Gender-Care Opponents to Preventive Health Panel
Health and Human Services Secretary Robert F. Kennedy, Jr. on Thursday named new members to an advisory panel whose recommendations establish which preventive health procedures insurers must cover without cost-sharing, including two physicians known for their opposition to gender-affirming care.
Health insurers covered 112,000 fewer Mass. residents’ GLP-1 weight-loss drugs this year, report finds
Insurers restricted coverage for obesity after years of financial losses.
Insurance Companies That Provide Coverage For Marijuana Businesses Would Be Shielded From Federal Punishment Under New Congressional Bill
Bipartisan congressional lawmakers have filed a bill to provide a safe harbor to insurance companies that work with state-legal marijuana businesses. The Clarifying Law Around Insurance of Marijuana (CLAIM) Act was filed by Reps. Nydia M. Velázquez (D-NY) and Warren Davidson (R-OH) on Wednesday. The legislation would protect insurers, brokers and agents from being penalized […]
Why life insurers are losing clients they already won
Consumers still want a human advisor for life insurance, but most carriers stop talking to them the moment the policy is signed
In reversal, California regulator says unmarried drivers should not pay more for auto insurance
California Insurance Commissioner Ricardo Lara, in a reversal, will no longer allow auto insurers to consider marital status in setting premiums, a policy that has resulted in unmarried drivers paying more.
Walmart is partnering with a nonprofit insurer to sell Medicare Advantage plans
The co-branded plans will be available to more than 2 million Medicare enrollees in two states when open enrollment begins Oct. 15
Oscar Health Lowers Medical Cost Outlook. Here's The Caveat.
Oscar Health cut its medical cost outlook, lifting OSCR stock. The insurer's grab for share in a shrinking ACA market looks like a winner — for now.
Star Health FY26 Data Highlights How Young India is Driving the Digital Health Insurance Revolution
India's leading standalone health insurer, Star Health and Allied Insurance Company Limited (NSE: STARHEALTH) (BSE: 543412) today released its FY26 direct digital channel data showing that young, salaried Indians are increasingly choosing digital channels to buy higher-value health insurance covers.
Only 46% of Gen Z, Millennial health plan members trust payers: Accenture survey
Member trust in insurers is on the decline among Gen Z and Millennials, down 10.5% between 2023 and 2026, new research from Accenture found. | This trust gap, according to analysts, could cost $3 billion in future member lifetime value for the largest commercial payers over the next decade.
Oak Global aiming to become $1 billion-plus business in 2027
Oak Global is aiming to pass $1 billion in gross written premiums in 2027, CEO Cathal Carr told The Insurer at this year's Rendez-Vous in Monte Carlo.
Gov. Green Neutral on One Health Hawaiʻi Plan But Says Reforms Needed
Gov. Josh Green held to a neutral stance on the proposed combination of Hawaiʻi’s largest medical insurer and the second-largest hospital system, but he
PGSA Warns against Serving Violating Vessels
TEHRAN (Tasnim) – Iran’s Persian Gulf Strait Affairs Authority (PGSA) warned insurers, protection and indemnity insurance clubs, and classification societies against providing services to vessels listed as violating its regulations governing maritime traffic through the Strait of Hormuz.
State reverses one-third of health insurer decisions
When an insurer denies a patient's claim, Connecticut residents can fight the decision. Data from the Connecticut Insurance Department identifies insurers and types of claims that are the target of complaints. In 2025, Connecticut policyholders filed over 5,000 complaints with state regulators.
Oscar Health (OSCR), Why Is This Insurer Drawing Fresh Attention?
Investor rotation into healthcare in response to tougher macro conditions has put Oscar Health (OSCR) on watch, as the insurer rides sector momentum alongside its revenue growth and expanding free cash flow margin. Recent price action backs up that story. Oscar Health’s share price return of 12.46% over the past 90 days and 118.90% year to date, alongside a 1-year total shareholder return of 69.53% and a very large 3-year total shareholder return above 4x, points to momentum that investors...
Elevance leads UBS health benefits survey as employers brace for higher costs
UBS benefits survey ranks Elevance top insurer as 77% of employers rebid 2027 plans; GLP-1 costs surge and big PBMs stay strong—read now.
She Pays $260 a Month for Plan G. The Same Insurer Sells a Cheaper Version of It, and Getting In Means Clearing Its Health Questions.
She called her insurer's sales line out of curiosity and heard a price for her exact plan that was materially lower than what showed up on her renewal. Getting from one number to the other means clearing health questions she never knew would matter this much.
Is The Health Insurer Rebound Complete? Some Seem To Think So
An increasing number of industry analysts say costs are under control for the likes of CVS Health, Centene, Cigna, Elevance Health, Humana, UnitedHealth Group and others.
Should Healthcare Rotation Require Action From Oscar Health Stock Investors?
Morningstar recently reported that tougher macro conditions have pushed investors toward healthcare, with the sector index up about 7% quarter to date and Oscar Health participating in that rotation. Oscar Health, a technology focused insurer with strong revenue and earnings per share growth and a wider free cash flow margin, is drawing interest as investors look for defensively positioned healthcare exposure. We will examine how Oscar Health's investment narrative is shaped by investor...
The Prescription for Better Health Insurance? Competition.
Anticompetitive behavior, such as consolidation, in the health-insurance industry has allowed a small group of insurers to dominate the market. One of the main drivers of this behavior is “adverse selection,” where individuals know more about how sick they are than insurance companies do. To mitigate the risk of paying out more claims than they can cover, insurers often raise their premiums. Kellogg’s Amanda Starc and her colleague argue that, to create a truly healthy health-insurance marketplace, regulators and policymakers need a framework for rethinking the complex interactions between adverse selection and regulatory guardrails.
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.