UnitedHealthcare reached a settlement with a cap of $6.75 million in a class-action lawsuit over coverage of proton beam therapy for cancer patients, according to a Dec. 12 court filing in the ...

California’s Department of Managed Health Care fined three Centene-owned health plans a total of $1.7 million over concerns about not meeting reporting rate standards for timely access of appointments ...

On Dec. 15, CMS published 24 quality and efficiency measures under consideration for adoption in Medicare programs. HHS employs this pre-rulemaking process to decide on measures for Medicare programs ...

Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December.

UnitedHealth Group continues to be the largest health insurer in the U.S., with nearly 45 million members in 2025, according to the Peterson-KFF health system tracker. The data is from Mark Farrah ...

Coming into 2025, health insurance industry leadership encountered overwhelming uncertainty. Following last year’s fatal shooting of UnitedHealthcare CEO Brian Thompson, insurers — including their ...

Traditional Medicare could have saved $7 billion from 2019 to 2023 across four services had it mirrored Medicare Advantage’s utilization rates and fraud strategies, according to a December Berkeley ...

Average worker contributions toward family insurance premiums grew by 308% between 1999 and 2024, according to a Dec. 8 research letter published in JAMA Network Open. Researchers from Rice University ...

Kaiser Permanente is the largest insurer by enrollment in the fully insured large group market, UnitedHealth Group is the largest within the fully insured small group market, and Centene is the ...

Wisconsin Democratic Gov. Tony Evers vetoed a State Assembly bill that prevents immigrants lacking permanent legal status from getting healthcare reimbursement Dec. 5, despite these individuals ...

Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study ...

Highmark recently shared how it increased generic and biosimilar access to members, focusing on drugs for multiple sclerosis, cancer and autoimmune conditions. The insurer has been working with ...