CMS will provide states monthly reports of beneficiaries whose citizenship or immigration status cannot be confirmed. States are expected to take “appropriate actions” including limiting coverage, the ...

The new committee’s key responsibilities are areas in which UnitedHealth has struggled or faced public scrutiny: underwriting and forecasting, regulatory relationships, reputational matters and ...

Meenal Sethna will join the infusion therapy provider in October. She’ll succeed former CFO Michael Shapiro, who will continue to work in a transition role through March.

Employers surveyed by the Business Group on Health are bracing for the largest annual increase in healthcare costs in more ...

Shakespeare famously wrote in The Tempest, “What’s past is prologue,” to express how events of the past set the stage for developments in the present. That sentiment was clear for health insurers in ...

Reed O’Connor’s ruling is a setback for smaller MA plans — and efforts to curb predatory marketing to seniors.

CVS Omnicare ordered to pay $949 million in government fraud case CVS plans to appeal the judgment, which it said was unconstitutional.

The Texas judge’s decision — which picked apart Elevance’s argument on mathematical grounds — is expected to cost Elevance ...

Millions could lose coverage under potential GOP Medicaid policies: CBO The Congressional Budget Office expects states will replace about half of the reduced federal support with their own resources.

Improving health data exchange is a worthy goal, but the initiative so far includes few details on how it will work — and has plenty of barriers to overcome, experts say.

CVS hikes adjusted earnings guidance as Aetna performance improves The company raised its outlook as many insurers are struggling with elevated medical costs in the second quarter.