Texas Attorney General Ken Paxton's Healthcare Program Enforcement Division has secured a $40 million settlement from Molina Healthcare under the Texas Health Care Program Fraud Prevention Act. Molina ...

In 2025, Blue Shield of California launched its Pharmacy Care Reimagined strategy, a new initiative aimed at dismantling the traditional PBM model to provide greater transparency, cost control, and ...

The quality of Anthem, Humana and UnitedHealthcare's mobile applications stand out among Medicare industry peers, according to a February research report from Corporate Insight shared with Becker's.

Humana CEO James Rechtin was paid $15.6 million in total compensation in 2024. The insurer disclosed executive compensation information in its annual proxy report published March 7. David Dintenfass, ...

CareFirst BlueCross BlueShield is suing Change Healthcare over the cyberattack that occurred in February 2024, the Baltimore Business Journal reported March 6. The lawsuit, filed on Feb. 21 in a ...

Humana's CenterWell Pharmacy has partnered with Novo Nordisk on a direct-to-patient Wegovy delivery service for uninsured and underinsured individuals. The service will offer all approved doses of ...

Blue Cross and Blue Shield of North Carolina has restructured to become a subsidiary of a new parent holding company, CuraCor Solutions. CuraCor will include Blue Cross NC and other fully owned ...

A group of 25 health systems encompassing more than 80 hospitals have filed an antitrust lawsuit against the Blue Cross Blue Shield Association and its 33 independent entities, alleging ...

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Appalachian ...

At least six Blue Cross Blue Shield companies reported a financial loss in 2024, citing rising medical utilization and drug costs. BCBS Michigan reported an operating loss of $1.7 billion and an ...

Alignment Healthcare's membership grew more than 58% in 2024, driving the Medicare Advantage company to nearly 190,000 members. Total revenue in 2024 was more than $2.7 billion, up 48% year over year.

Elevance Health and Centene saw their Medicaid memberships decline by more than 20% through the redeterminations process. In 2023 and 2024, states redetermined the eligibility of Medicaid ...