The clinical value of GLP-1 receptor agonists is now well established. Multiple trials have linked them to not only meaningful reductions in body weight, but also improved outcomes in cardiovascular, ...

Rate season for individual market coverage in 2027 is underway, with a handful of states among the first to release insurers’ proposed premium filings. The bulk of state filings are not expected to be ...

Arizona Attorney General Kris Mayes accused healthcare data company MultiPlan, rebranded as Claritev, and eight health insurers of a price-fixing scheme. The complaint, filed in state court, alleged ...

The HHS Office of the Inspector General estimates $462 million in CMS overpayments to Medicare Advantage plans stemming from some unsupported acute stroke diagnosis codes. In a May report, the OIG ...

CMS published its interim final rule for state implementation of Medicaid work requirements June 1. HR 1 outlined how low-income, nonpregnant people between ages 19 and 64 must work, engage in ...

PacificSource is laying off 97 employees following the company’s previously announced decision to exit Montana and the individual line of business, along with “rightsizing in the Oregon market.” The ...

A federal judge in Georgia has ruled in favor of Clover Health in its lawsuit challenging its 2026 Medicare Advantage star ratings. On May 27, U.S. District Judge Lisa Godbey Wood partially granted ...

Forty-five Blue Cross Blue Shield of North Dakota employees will leave the company as it integrates with Cambia Health Solutions, a Cambia spokesperson confirmed to Becker’s May 27. The spokesperson ...

PacificSource Health Plans will exit the individual insurance market, as well as cease all operations in Montana, the company confirmed to Becker’s. “These are not decisions made lightly. We know they ...

Prior authorization reforms remain a major advocacy priority for provider trade groups in 2025, and several state lawmakers have also introduced legislation to bring changes to the process. The ...

Point32Health reported an adjusted net income of $248 million in the first quarter, a sharp reversal from a $21 million adjusted net income a year prior. The insurer, parent company of Harvard Pilgrim ...