Payer leaders need a flexible mindset, data know-how and big-picture thinking to succeed in 2025, according to more than a dozen executives. Becker’s reached out to 17 executives to learn what ...

Aligning wound patient needs with the appropriate level of care can have a significant impact on patients, hospitals, and payors. In one recent case study, two hospitals reduced wound patients’ ...

CareOregon has laid off 80 employees and eliminated 70 empty positions in response to financial headwinds, the Oregonian reported July 22. According to the report, the layoffs included positions at ...

New Hampshire Gov. Kelly Ayotte has signed a bill that requires insurers to notify the state’s insurance department at least 90 days in advance before discontinuing a line of business, including ...

California’s insurance commissioner has issued a cease and desist order against Innovative Partners for illegally acting as an insurer in the state and offering health coverage without proper ...

Attorneys representing Luigi Mangione, the man accused of killing UnitedHealthcare CEO Brian Thompson in late 2024, have accused the Manhattan District Attorney’s Office of improperly obtaining over ...

A judge has dismissed Humana’s lawsuit challenging its Medicare Advantage star ratings. In a July 18 order, U.S. District Judge Reed O’Connor dismissed the case without prejudice, meaning it could be ...

Humana has reintroduced a lawsuit challenging its Medicare Advantage star ratings. On July 18, U.S. District Judge Reed O’Connor dismissed the case without prejudice. Mr. O’Connor ruled that Humana ...

"Independence Blue Cross announces restructuring and layoffs, citing market changes and need to adapt. Follows trend of health insurers cutting jobs." ...

Here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since June 25: 1. UnitedHealth Group has engaged in an “an aggressive and wide-ranging campaign” against ...

Six things to know about the two-midnight rule and how it applies to Medicare Advantage: 1. In the 2014 Medicare inpatient prospective payment system final rule, CMS included a new regulation for ...

CMS is implementing a final rule that will shorten the open enrollment period on the ACA exchange and create stricter eligibility verifications for enrollees. In a June 20 news release, the agency ...