Four hospitals under Grand Rapids and Southfield, Mich.-based Corewell Health are no longer in UnitedHealthcare’s network, according to a Dec. 31 update from the insurer. As of Jan. 1, ...

Insurance commissioners significantly shape the industry’s regulatory landscape in each state. A handful even come from healthcare backgrounds, specifically. Becker’s compiled a list of these leaders ...

Aetna’s Medicaid President, Mark Santos, has been named senior vice president and head of network strategy and provider experience. Mr. Santos has been with the insurer for more than two decades, ...

Pennsylvania’s ACA marketplace, Pennie, is shedding roughly 1,000 members each day as premium costs jump following the expiration of enhanced subsidies, the Pennsylvania Capital-Star reported Jan. 8.

Georgia has issued nearly $25 million in fines to 11 health insurers for violating state mental health parity laws. The penalties follow market conduct examinations that began after a 2023 data call ...

Grocery chain Albertsons is suing the Cigna-owned pharmacy benefit manager Express Scripts for at least $10.9 million for alleged prescription underpayments, according to a Jan. 7 complaint shared by ...

ACA open enrollment generally runs until Jan. 15, but Illinois, Connecticut and Pennsylvania are giving their residents more time to choose coverage. While the future of enhanced premium tax credits ...

Laws in North Dakota, Nebraska and Alaska focused on accelerating insurer response times for prior authorizations went into effect Jan. 1. North Dakota Gov. Kelly Armstrong signed the state’s bill in ...

Gov. Katie Hobbs appointed Chuck Bassett to serve as the director of the Arizona Department of Insurance and Financial Institutions, effective Jan. 12. Mr. Bassett previously served as vice president ...

Anthem Blue Cross is suing 11 Prime Healthcare hospitals in California, accusing them of defrauding the insurer by “knowingly flooding” the No Surprises Act’s independent dispute resolution process ...

Blue Cross Blue Shield licensee Hawaii Medical Service Association and Honolulu-based Hawaii Pacific Health are coming together under a new nonprofit parent organization, One Health Hawaii, the ...

The No Surprises Act’s independent dispute resolution process continues to be a source of controversy and litigation nationally more than three years after its implementation, with insurers and ...