A former chief human resources officer at Elevance Health, Troy Henagan, has filed a lawsuit against the company in a Georgia federal court, alleging age discrimination after his termination in June ...

Elevance Health has completed its acquisition of Indianapolis-based Indiana University Health's health plan. With the closure of the deal that was first announced in September, IU Health Plans will ...

Florida Blue is the latest insurer to sue CMS over its Medicare Advantage star ratings. In a lawsuit filed Dec. 27 in federal district court in Washington, D.C., attorneys for Florida Blue argued CMS ...

L.A. Care Health Plan is the largest Medicaid managed care organization in the country with more than 2.5 million enrollees, according to KFF.

Recent studies examined how Medicare Advantage beneficiaries use hospice care and dental benefits, as well as the reasons behind differences in diagnosis coding between traditional Medicare and MA ...

CareSource has completed the acquisition of Common Ground Healthcare Cooperative, one of the last surviving ACA co-op plans. The transaction closed Jan. 1, according to a Jan. 2 news release from ...

UnitedHealth Group and home health company Amedisys have agreed to extend the deadline for a planned $3.3 billion merger due to a legal challenge by the Department of Justice. In a Dec. 26 regulatory ...

For payers, drug formulary development and maintenance are essential for accurate reporting and tracking of prescription medications. An up-to-date and well-established classification resource can ...

Two major Medicare changes signed into law in the Inflation Reduction Act will take effect in 2025. Here are five things to know about the changes coming in 2025: Beginning in 2025, out-of-pocket ...

UnitedHealth Group is the world's largest insurer by net premiums written for a 10th year in a row, according to AM Best's annual ranking published Jan. 2. In 2025, UnitedHealth expects revenues of up ...

The majority of health plan executives are focused on growth and have a favorable outlook for 2025, according to a Dec. 12 survey from the Deloitte Center for Health Solutions. Between August and ...

Scripps Health and Anthem Blue Cross are out of network as of Jan. 1. The split affects all Anthem commercial and ACA plans. Scripps' largest medical groups stopped accepting all Medicare Advantage ...