L.A. Care Health Plan is the largest Medicaid managed care organization in the country with more than 2.5 million enrollees, according to KFF.

Elevance Health has completed its acquisition of Indianapolis-based Indiana University Health's health plan. With the closure of the deal that was first announced in September, IU Health Plans will ...

UnitedHealth Group is the world's largest insurer by net premiums written for a 10th year in a row, according to AM Best's annual ranking published Jan. 2. In 2025, UnitedHealth expects revenues of up ...

Scripps Health and Anthem Blue Cross are out of network as of Jan. 1. The split affects all Anthem commercial and ACA plans. Scripps' largest medical groups stopped accepting all Medicare Advantage ...

A former chief human resources officer at Elevance Health, Troy Henagan, has filed a lawsuit against the company in a Georgia federal court, alleging age discrimination after his termination in June ...

Two major Medicare changes signed into law in the Inflation Reduction Act will take effect in 2025. Here are five things to know about the changes coming in 2025: Beginning in 2025, out-of-pocket ...

For payers, drug formulary development and maintenance are essential for accurate reporting and tracking of prescription medications. An up-to-date and well-established classification resource can ...

Recent studies examined how Medicare Advantage beneficiaries use hospice care and dental benefits, as well as the reasons behind differences in diagnosis coding between traditional Medicare and MA ...

The majority of health plan executives are focused on growth and have a favorable outlook for 2025, according to a Dec. 12 survey from the Deloitte Center for Health Solutions. Between August and ...

Aetna is now out of network with Providence hospitals in Oregon. As of Jan. 1, most of the Renton, Wash.-based health system's Oregon locations are out of network with Aetna, a Providence spokesperson ...

While most Medicare Advantage plans offer dental benefits, few of these benefits are comprehensive, a study published Dec. 26 in JAMA found. Here are three things to note: More than 85% of Medicare ...

UnitedHealth Group and home health company Amedisys have agreed to extend the deadline for a planned $3.3 billion merger due to a legal challenge by the Department of Justice. In a Dec. 26 regulatory ...