Elevance Health said it is going all in on AI, but the tech’s potential risks in insurance have spurred recent regulations, signaling the public’s concern. Anita Allemand, PharmD, joined Elevance ...

The Medicare Advantage (MA) market is entering a potentially transformative phase. Profit pressures, regulatory shifts, and an evolving reimbursement landscape are converging to prompt a strategic ...

CVS Health boosted its guidance despite a $4 billion loss. The company documented $103 billion in revenue for third-quarter 2025, according to an Oct. 29 financial report. Revenue was up 7.8% year ...

UnitedHealth Group is projecting its Medicare Advantage enrollment will decrease by 1 million people in 2026. That estimate is up from a 600,000-member decrease it projected in July. UnitedHealthcare ...

The ACA marketplace’s open enrollment period kicks off on Nov. 1, but HealthCare.gov and states have price previews already available. The shopping window will remain open until Jan. 15, 2026, but ...

Angle Health is a health insurance startup that wants to serve plans to companies as small as two employees all the way to a Walmart-sized company. The company, founded in 2019, received a $58 million ...

CMS Administrator Mehmet Oz, MD, told FOX 5 Atlanta that the government shutdown is not affecting Medicare open enrollment. “The shutdown is a problem for lots of parts of government but not for ...

PacificSource will cut about 300 roles across Oregon, Idaho, Montana and Washington, according to a spokesperson and notices filed with the government. The payer cited a “significant” drop in Medicaid ...

UnitedHealth Group posted a $2.3 billion profit for its third quarter of 2025, down from a $6.1 billion profit for the same time last year. The company released its third-quarter earnings Oct. 28 and ...

Elevance Health is deepening its use of artificial intelligence enterprise-wide, focusing on enhancements to its member services, clinical workflows and provider operations as part of long-term ...

Health plans found that 39% of provider’s surprise billing disputes were ineligible for arbitration and never should have been submitted to the federal independent dispute resolution process, ...