The Blue Cross Blue Shield system is made up of more than 30 independent and locally operated companies. While they share branding and licensing through the Blue Cross Blue Shield Association, some ...

Hospitals under Greenville, N.C.-based ECU Health — a collaboration between East Carolina University and Vidant Health — will remain in network for some UnitedHealthcare plans through Aug. 6, the ...

Nebraska employers lead the nation in self-funded healthcare benefits, with 73% of the state’s employer-sponsored insurance structured under ERISA rather than purchased from an insurer, according to ...

UnitedHealth Group posted nearly $5.5 billion in profit for the second quarter of 2026, up sharply from the same period last year. The company released second-quarter earnings July 16, raising its ...

Two senators are demanding records from the three largest Medicare Advantage insurers over their use of AI and prior authorization to deny post-acute care to seniors. The senators are seeking records ...

Elevance Health plans to exit additional Medicaid markets over the next 12 to 18 months where it doesn’t see a viable path forward, executives said July 15 during the company’s second-quarter earnings ...

The Federal Trade Commission reached a settlement with CVS Caremark that requires the pharmacy benefit manager to change its business practices as part of the agency’s antitrust case alleging the PBM ...

Two more Medicare Advantage insurers are suing CMS over their 2026 star ratings, arguing the agency did not go far enough when it adjusted the ratings following a major court loss to Clover Health ...

The HHS Office of Inspector General reported a $5.56 billion in savings and recoveries from Oct. 1, 2025, through March 31, 2026. OIG released its semiannual report in July. The division focuses on ...

Insurers estimate that they will pay more than $759 million in medical loss ratio rebates across commercial markets in 2026. KFF’s preliminary analysis is based on insurer-reported financial data from ...

The country’s largest healthcare company is placing a bet on Anthropic. Optum, part of UnitedHealth Group, is partnering with Anthropic “to responsibly bring AI to healthcare to help people live ...

Blue Cross and Blue Shield of North Carolina won the state’s third-party administrator and pharmacy benefit manager contracts for the state health plan effective Jan. 1, 2028. Blue Cross NC previously ...