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Elevance and UnitedHealth Earnings Are Next Test for Hot Health Insurer Stocks
Elevance reports results July 15, followed by UnitedHealth July 16, and CVS Health on Aug. 5.
Who’s more to blame for frustration at the pharmacy—insurers changing formularies or prescribers failing to keep up?
Patients increasingly wait for—or never receive—drug treatments deemed appropriate and timely by their doctors.
Who’s more to blame for dashed ‘scrip’ fills—insurers restricting drug coverage or prescribers failing to keep up?
Patients increasingly wait for—or never receive—drug treatments deemed appropriate and timely by their doctors.
Your health insurance costs could spike next year
Early filings from 77 health insurers indicate that monthly insurance premiums could increase by 10% to 20% in 2027.
Your health insurance costs could spike next year
Early filings from 77 health insurers indicate that monthly insurance premiums could increase by 10% to 20% in 2027.
Health insurance giants are fighting efforts to break them up
UnitedHealth Group, CVS Health and Cigna are suing states over new laws targeting their pharmacy businesses.
RFK Jr.’s focus on preventive health panel provokes new fears
Health and Human Services (HHS) Sec. Robert F. Kennedy Jr. has his sights set on remaking another influential health panel, one that determines what preventive medical services insurers must cover …
Health insurers propose double-digit-percentage price increases for Illinois exchange plans
For 2027, the state’s largest health insurer, Blue Cross and Blue Shield of Illinois, is proposing an average price increase of 14.9% across its exchange plans.
In Preliminary Rate Filings, ACA Marketplace Insurers Largely Propose Double-Digit Premium Increase For 2027, Following a Steep Climb This Year
ACA Marketplace insurers are proposing a median premium increase of 14% for 2027— indicating a likely second consecutive year of double-digit increases, according to a new analysis of preliminary rate filings in 16 states and DC. If these increases hold, typical premiums for insurers participating in the ACA Marketplaces would jump by more than one-third between 2025 and 2027.
ACA premiums likely set for another double-digit rise next year
Insurers are proposing a rate hike of about 14%, driven by rising healthcare costs, inflation and the loss of enhanced tax subsidies.
How much and why ACA Marketplace premiums are going up in 2027 - Peterson-KFF Health System Tracker
For 2027, across 77 insurers participating in the ACA Marketplaces from the 16 states and DC, the median proposed premium increase is 14%.
Palantir Signs a Deal With Mexico’s Top Insurer to Boost Commercial Business. Will It Boost the Stock?
The announcement comes after Palantir Technologies stock fell 25% in June, marking its worst month since February 2021.
Health insurers’ AI vision
Health insurers are increasingly embracing artificial intelligence as part of their business models, bullish on the technology’s potential to revolutionize care and drive down costs.
Health insurer Centene to stop participating in Arkansas’ Medicaid expansion
DHS will transfer enrollees in the three Centene plans to other plans for which they are eligible, an agency spokesperson said.
Dario Signs New Agreement with a Major Health Insurer in Arizona Representing Hundreds of Thousands of Lives Through Amwell Partnership
/PRNewswire/ -- DarioHealth Corp. (NASDAQ: DRIO) (the "Company", "DarioHealth" or "Dario"), a leader in global digital health, today announced a new agreement...
Dario Signs New Agreement with a Major Health Insurer in Arizona Representing Hundreds of Thousands of Lives Through Amwell Partnership
/PRNewswire/ -- DarioHealth Corp. (NASDAQ: DRIO) (the "Company", "DarioHealth" or "Dario"), a leader in global digital health, today announced a new agreement...
This rural Colorado hospital is using AI to go after health insurers that ghosted payments. Here’s how.
The promise of modern AI to help Spanish Peaks Regional Health Center recover lost revenues is built on a system that keeps medical data private.
Exclusive: Rural health funds to fix prior authorization
Delaware plans to streamline the insurer pre-treatment claims reviews, widely criticized for delaying timely health care.
RFK Jr.’s latest overhaul aims to boost preventive care. It could get expensive.
The health secretary wants insurers to cover Alzheimer’s tests. Some in the health industry hope he’ll back routine testing for many more diseases.
Elevance sues government over $115 million tied to Medicare Advantage star ratings
The health insurer says CMS didn't calculate its star ratings appropriately.
Elevance pays CMS $342M to assuage concerns of noncompliance and overbilling
The Medicare Advantage insurer said the payout is equal to what a CMS audit stated was the total amount the company was overpaid for patient care services. Despite receiving the cash, the agency has yet to officially withdraw its enforcement action, as the two parties are still negotiating.
BlueCross BlueShield of VT pulls its proposed lower-cost, higher-deductible health plans
The insurer said the Green Mountain Care Board’s delayed approval of the plans left them with little time to prepare.
After her insurer denied coverage of medication, she ended up in the ER
After switching Medicare Advantage plans, a woman with a weakened immune system got tangled in the preapproval process, which the insurance industry has vowed to improve.
Health insurers are looking for MAHA wins
The companies are offering benefits aimed at appealing to Robert F. Kennedy Jr. and his Make America Healthy Again movement.
Patients can save thousands with drug coupons, but only if insurers honor them
Patients who rely on co-pay assistance from drugmakers are typically heavy users of health care for whom delays in treatment or worsening conditions can lead to higher costs, according to patient advocates.
Maryland health insurance rates could rise 13.7% in 2027 under proposal
BALTIMORE — Maryland residents who buy health insurance through the Affordable Care Act marketplace could see higher premiums next year, with insurers requesting an average rate increase of 13.7% for
States seek to lower drug prices by targeting the companies that manage them for health plans
TOPEKA, Kan. — As consumers worry about medication costs, states are trying to lower drug prices by reining in big companies that oversee prescription coverage for health insurers. Some of those companies, called pharmacy benefit managers, also own pharmacies, and one of them, CVS, has spent millions of dollars fighting
Your health insurer shouldn’t decide your treatment plan. That’s what your doctor (and possibly AI) should be doing.
With a digital health record, clinicians and AI-driven diagnostic tools would be able to see your full health history — and then make better decisions.
States seek to lower drug prices by targeting the companies that manage them for health plans
Legislators across the U.S. are trying to lower prescription costs by reining in big companies that handle drug coverage for health insurers.
States seek to lower drug prices by targeting the companies that manage them for health plans
Legislators across the U.S. are trying to lower prescription costs by reining in big companies that handle drug coverage for health insurers.
Maryland health insurers want to raise premiums an average 13.7% for individual plans in 2027
Maryland health insurers want to raise premiums an average 13.7% for individual ACA plans in 2027
This autism therapy is covered by many insurers. Why does the military’s plan restrict it?
Logan Cabiao started applied behavior analysis therapy for autism when he was 2. Several years later, TRICARE, the military’s healthcare program, imposed major coverage restrictions.
Prosus Investment Values Health Insurer Alan at $6.3 Billion
Prosus—the largest shareholder in Tencent Holdings and owner of food-delivery company Just Eat Takeaway—is investing €400 million in Alan.
Health insurers propose high rate hikes for 2027 Minnesota plans
To find out why and how much it'll burden customers, policy analyst Matt McGough with KFF Health News joined Morning Edition Wednesday.
Dozens in Florida among hundreds charged in a DOJ crackdown on healthcare fraud
The two-week operation uncovered more than $6.5 billion in false claims submitted to insurers, according to the Department of Justice. Nearly two dozen arrests were made by state authorities.
Oklahoma ACA insurer Mending to end health plans after this year
A health policy analyst says the move comes amid a broader trend of insurer exits as several federal policy changes fuel declining enrollment.
While Mainers still reeling from health insurance hikes, insurers propose more
Kennebunkport resident Kristin Fuhrmann-Simmons saw her family’s health insurance costs increase ten-fold after Congress last year failed to extend pandemic-era tax credits for plans purchased on the marketplace. Next year, she’s facing another potential 20% increase, this time due to a proposed hike by her insurance provider. “I didn’t know that the cost of care […]
Texas doctor charged in $89M fraud case as administration pushes health care crackdown
The Justice Department has charged a Texas doctor in an $89 million health care fraud scheme, accusing him of billing insurers for medically unnecessary cardiovascular screening tests.
Minnesota health insurers proposing double-digit rate hikes for 2027
Health insurers are proposing double-digit rate increases next year for individual plans sold on MNsure, the state’s health insurance marketplace for those who don’t get health insurance
Texas doctor charged in $89M fraud case as administration pushes healthcare crackdown
The Justice Department says it has charged a Texas doctor in an $89 million healthcare fraud scheme, accusing him of billing insurers for medically unnecessary cardiovascular screening tests for college student-athletes and then rubber-stamping the res...
Arizona passes legislation requiring insurers to cover follow-up breast imaging
Democratic Gov. Katie Hobbs on June 19 signed SB 1165 into law following its passage in the state Senate.
Minnesota health insurers seek double-digit rate increases for 2027
Proposed double-digit rates increases on the state’s MNsure exchange are a bellwether for broader cost trends.
Health insurers are seeking rate hikes again. Here’s what to know
The Connecticut Insurance Department annually reviews requests by insurance companies to raise or lower rates on health coverage.
AI-powered healthcare fraud has insurers on their toes
Pulling off health insurance fraud used to take time and skill. Until a few years ago, criminals couldn’t fabricate health records without knowing medical terminology and billing codes. If the scheme involved fooling a call center worker, the fraudster would have to pick up the phone and pose as a
CalPERS prepares to drop United Healthcare over high premiums, opts for Sutter Health
United Healthcare’s proposed 2027 rates were unreasonably high, CalPERS staff said, and the insurer would not negotiate lower premiums.
Rhode Island health insurers seek double-digit hikes
'Unsustainable’ increases reflect higher cost of prescription drugs and fewer people on the state health exchange.
Healthcare AI vendor suffers data breach, exposing patient records to hackers
Tennessee-based Xsolis said the incident occurred in January, and the sensitive data was from its clients. The company provides AI-powered case management software to hospitals and health insurers.
RI Health Insurers Pushing for Rate Increases as High as 35%
The spiraling cost of health insurance is hitting record highs. And Rhode Island businesses are about to get clobbered again due to the rate increases…
Health Insurer Centene, Looking To Cut Costs, Offers Companywide Buyouts
Obamacare insurer Centene offering employees buyouts to cut costs after Trump and GOP Congress didn't renew subsidies
Centene to offer buyouts to some employees as health insurer cuts costs
The health insurer Centene did not indicate how many employees it offered buyouts to, or how much it is aiming to reduce its workforce.
Rhode Island health insurers request double-digit premium hikes for 2027
Some Rhode Islanders could pay significantly more for health insurance next year.
Vermont’s largest health insurer wants to offer a cheaper plan. Can it actually help Vermonters?
Vermont's largest health insurer wants to offer cheaper plans, but the state regulator doubts real savings. Approval postponed to August.
Seniors with UnitedHealth Medicare Advantage may lose access to Fairview hospitals, clinics
Once again, the Minneapolis-based health system notified 11,000 patients by email this week about changes that would happen in 2027. The Minnetonka-based insurer calls the message a “scare tactic.”
Vermont’s largest health insurer wants to offer a cheaper plan. Can it actually help Vermonters?
BlueCross BlueShield of Vermont is mired in a back-and-forth awaiting regulatory approval for its low-premium, high-deductible “Basic” plans.
Big Medicare Insurers Often Deny Requests for Nursing-Home Stays
A new federal investigation shows some of the biggest insurers had some of the highest denial rates.
Health insurance for many Oregonians could get a lot more expensive next year
Health insurers are seeking double-digit rate hikes for Oregonians who buy their own coverage and workers at small businesses.
UHC Medicare Advantage patients set to lose in-network access to Brown Health physicians
Rhode Islanders insured under UnitedHealthcare’s Medicare Advantage plans may once again have to find new doctors amid contract negotiations between the insurer and Brown University Health.
Can California afford to cover Ozempic for public employees?
California may require CalPERS health plans to cover Ozempic and other GLP-1 weight-loss drugs. The insurer warns it would cost hundreds of millions of dollars.
Oregon Releases Provisional 2027 Health Insurance Prices, And They’re Not Pretty
Even after years of cost hikes, insurers of individual and small group plans want to raise prices in the state by a whopping 17% on average.
UnitedHealthcare’s lactation billing feud, and fake strokes
The biggest U.S. health insurer is changing how it pays for lactation counseling, and it could cut payment for many providers.
Medicare Advantage Continues To Grow Despite Health Insurer Exits
Medicare Advantage is the choice of 55% of eligible beneficiaries for health insurance for Americans 65 and older.
Survey findings show how health insurance denials affect Americans
Patients who have their claims turned down by private insurers often incur debt they need months to pay off, according to an analysis of 4,589 survey responses. More than half the field reported such debt topped $1,000 in their household.
UnitedHealth Stock Rises. Why the Health Insurer Is Leading the Dow to Sharp Gains.
Shares of UnitedHealth Group receive votes of confidence from analysts at BofA Securities and Morgan Stanley.
UCare paid CEO $1.28M during collapse, including a bonus
Hilary Marden-Resnik and a dozen top executives received incentive compensation last year as the nonprofit health insurer staggered toward its demise.
Opinion | Alleged fraud by United Healthcare undermines trust in health system
Insurer accused of making patients appear sicker to inflate payments.
HaloMD faces lawsuit alleging No Surprises Act middleman used ‘sham letter,’ misleading data
Highmark Health is the fourth insurer to sue HaloMD, seeking to overturn arbitration wins.
Health insurer Cigna will stop covering GLP-1 weight loss drugs in its employee health plan
CNBC's Becky Quick reports on the latest news.
Massachusetts attorney general’s lawsuit alleges $100M fraud by UnitedHealthcare
AG claims insurer pursued “growth-at-all-costs.” United calls the litigation “meritless” and inaccurate.
The Autism-Therapy Business Is Booming—and So Is the Billing Abuse
Insurers warn of fraud and exorbitant charges from providers, including one that stuck a parent with a surprise $911,400 bill.
Weight Loss Drugs Listed By Health Insurers Aren’t Necessarily Covered
Inclusion of weight loss drugs on insurer formularies is a meaningful step towards expanding access. But having a product listed doesn’t necessarily mean it’s covered.
Billionaire Mark Cuban Asks Why Insurance Companies Pay $2,500 for an MRI When ‘a Center Down the Street’ Only Charges $350
Mark Cuban questioned why insurers pay $2,500 for MRIs priced at $350 elsewhere. The debate exposed huge gaps in health care pricing.
State budget deal includes auto insurance relief
Fraud, liability claims and transparency regarding how insurers set your rates — those are just some of the changes that are part of the budget.
Highmark Health's first quarter results rebound compared to 2025
Health insurer and hospital system giant Highmark Health reached a financial turnaround for the three months ending March 31. The holding company for the...
Health insurers again propose double-digit premium increases
Insurers in the merged market, where many individuals and small businesses get coverage, have proposed an average rate hike of 12.9 percent for 2027, according to plans posted online by the Division of Insurance.
Health insurers are exiting the Marketplace again. Should consumers be worried?
Why are insurers leaving the ACA Marketplace? New exits by Cigna and others highlight growing concerns about enrollment and affordability in 2027.
East Idaho hospital could end contract with health insurer that covers state employees
An East Idaho hospital and a major health insurer are struggling to agree to terms on a contract that would keep the hospital in network.
Health insurers again propose double-digit premium increases
Nearly 700,000 Bay Staters are facing the prospect of double-digit premium increases next year as insurers struggle to handle cost pressures across the healthcare landscape.
Health insurers point fingers over affordability woes
Added insurance costs are being passed through to workers who are already reeling from inflation.
With midterms looming, HHS and states at odds over cause of lagging Obamacare signups
Trump administration officials point to their work on fraud as the reason for dropoffs while states and insurers blame higher premiums.
Providence to end most health insurance plans, forcing hundreds of thousands in Oregon to switch
Providence Health Plan is Oregon’s third largest insurer, covering more than 421,000 Oregonians.
Three men headed to prison for $2B healthcare fraud – but kingpin is in the wind
Three men are headed to prison for their roles in an elaborate international scheme to con health insurers by sending $2 billion of phony telemedicine prescriptions – but the plot's alleged kingpin...
UnitedHealth Group stock slides after Berkshire Hathaway exits position in the health insurer
UnitedHealth stock tumbled after Berkshire Hathaway revealed it sold its entire state of health insurer
UnitedHealth falls after Berkshire sells stake in health insurer
UnitedHealth shares fell 3% on Monday after Berkshire Hathaway disclosed it had sold its stake in the healthcare conglomerate as a part of a portfolio reshuffling in the first quarter under CEO Greg Abel.
PAID POST: Connecticut fined every major insurer for blocking mental health care. Now what?
Connecticut fined all five major health insurers for mental health parity violations. Here's what the enforcement action means and what still has to change.
Opinion | ‘Ghost networks’ make finding mental health care harder
State should enforce law requiring insurers to maintain accurate provider directories
NH House stalls bill requiring private insurers to cover children’s mental health services
New Hampshire House of Representatives delays legislation requiring private insurers to cover mental health services for children.
State senators keep wraparound mental health initiative alive
After the New Hampshire House sidelined an effort to require private insurers to cover wraparound mental health services, the Senate made a last ditch effort to keep it alive.
Insurers shouldn’t make healthcare decisions: There’s a better way
The system is broken — and it must be fixed now.
Exclusive: Dr. Oz announces health coalition to streamline prior authorizations
The new coalition includes insurers, hospitals and health records companies.
SME cyber gaps expose underinsurance opportunity for carriers: KYND
Latest data highlight a growing claims risk – and a chance for insurers to pair cyber cover with practical, data‑led risk improvement.
We can't afford to let Democrats lead health care 'reform'
Obama's Affordable Care Act created incentives for insurers to grow larger, consolidate and control more of the health care system. The GOP can fix it
Health Insurers Performing Better But There’s Potential Trouble Ahead
Health insurance companies including UnitedHealthcare, CVS Health’s Aetna and Blue Cross and Blue Shield plans are seeing lower costs. But there’s trouble ahead.
Taxpayers could foot the bill for millions in unpaid bills from insurer, Harris Health says
Harris Health has filed a federal lawsuit alleging one of its contracted insurance providers owes the public hospital system millions of dollars in unpaid medical claims, costs the county says could ultimately fall on taxpayers.
Sun Life quarterly profit jumps on Asia business strength
Sun Life reported a jump in first-quarter profit on Wednesday, as the Canadian insurer benefited from strong gains in its Asia business.
CVS blows past estimates, hikes outlook as insurance business outperforms
All of the health-care giant's business segments, including its insurer Aetna, its retail pharmacy and health services unit, surpassed expectations.
Major health insurers show signs of recovery – but a key test looms
Insurers have incomplete data on medical costs in the first quarter due to a lag in claims processing, which sets up the second quarter as the real test.
Pearl of the week: What insurer data confirms about mental health access
A new index shows where costs and payment disparities are holding patients back
Independent Evidence Reviews Overturn Insurer Denials Of Healthcare Coverage
Policy experts suggest reform of prior authorization that would require coverage decisions be supported solely by evidence being reviewed by independent clinicians.
Trucordia acquires Connecticut insurer Paradiso Financial
The move adds a community agency with a diversified personal and small commercial book