UnitedHealth Group’s Optum Rx is monitoring three notable drug candidates that might be approved in the next few months, according to its winter 2026 report published Jan. 2. Two of the medications ...

Blue Cross of Idaho is implementing “organizational changes” to boost efficiency and lower costs, affecting fewer than 90 roles, a spokesperson confirmed to Becker’s Jan. 21. “These decisions were not ...

Fortune and consulting firm Korn Ferry released their 2026 “World’s Most Admired Companies” ranking Jan. 21, featuring five U.S. health insurers. The publisher and firm start with 1,500 candidates ...

Humana has sold a San Antonio office complex valued at $11.3 million after 35 years of ownership, the San Antonio Express-News reported Jan. 14. The sale included more than 133,000 square feet of ...

ACA plans are too expensive for the majority of Americans, according to a study published Jan. 6 in Medical Care. With enhanced subsidies still in limbo, the study relied on Commonwealth Fund ...

Founded in 2023, Texicare — a Texas Mutual affiliate — offers health coverage to small businesses throughout the state. Texicare President and CEO Meredith Duncan previously worked at Aetna, Bright ...

Maryland is losing its longstanding rate-setting power for Medicare fee-for-service under CMS’ “achieving healthcare efficiency through accountable design” payment model.… ...

Hospitals and medical practices faced slower payment processing from insurers in 2024 compared to 2023 even as prior authorization denial rates fell, according to new revenue cycle data from Kodiak ...

Marketplace enrollment soared at over 24 million plan selections for 2025, but the enhanced premium tax credits that enabled this surge are set to expire at the end of the year. Some 4.8 million ...

CMS estimated there were $28.83 billion in improper payments for Medicare fee for service in fiscal 2025. “While CMS’ improper payment reporting programs are designed to protect the integrity of CMS ...

Going into 2026, prior authorization continues to be a contentious topic for payers, providers, lawmakers and other leaders. From piloting prior authorization in Medicare to governors pitching reforms ...

Employers are gravitating toward “transparent” pharmacy benefit managers this year, according to a survey from the National Alliance of Healthcare Purchaser Coalitions. The 2025 “Pulse of the ...