Highmark Health Plans reported a $166 million operating loss in 2024, driven by rising medical costs. Highmark, which operates health plans, health system Allegheny Health Network and several other ...

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Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent ...

Blue Cross and Blue Shield of Massachusetts is the latest insurer to sue CMS over what it says was an unfair calculation of its 2025 Medicare Advantage star ratings. In a lawsuit filed March 7 in the ...

The federal government will spend $84 billion more on Medicare Advantage enrollees this year than if they were enrolled in fee-for-service plans, according to new estimates from the Medicare Payment ...

New Mexico lawmakers have introduced legislation that would require insurance coverage for medical cannabis to treat certain debilitating medical conditions. If passed, the bill would require ...

Minnesota lawmakers have introduced a bill that would require health insurance coverage for the management and treatment of obesity, including GLP-1s. The bill would require state-regulated health ...

Blue Shield of California CEO Lois Quam is stepping down after two months on the job. The nonprofit health plan will begin a search for a permanent CEO and has appointed CFO Mike Stuart as interim ...

Some municipalities in North Carolina are looking for a new insurance carrier amid the NC League of Municipalities’ Health Benefits Trust announcing it will shut down on June 30, WITN reported March ...

Humana is planning to renovate portions of its new headquarters, the Louisville Business Journal reported March 10. In 2024, Louisville, Ky.-based Humana said it would consolidate its headquarters, ...

President Donald Trump signed an executive order in February that directs HHS, and the Labor and Treasury departments to "rapidly implement and enforce" price transparency regulations that were ...

CMS is proposing a set of new regulations for ACA marketplaces, including shortening the annual enrollment window and rescinding eligibility for DACA recipients. In a March 10 news release, the agency ...