Louisiana lawmakers are advancing a bill that would restrict how payers use AI and automated decision systems when making coverage determinations, requiring human clinical judgment before any denial ...

At least nine state-run marketplaces have seen a correlation between skyrocketing ACA premiums and enrollees downgrading to bronze plans, according to a March 9 analysis by Healthinsurance.org. The ...

Renton, Wash.-based Providence is exploring strategic options for its insurance arm, Providence Health Plan, including a potential sale, the system said in a March 19 news release shared with Becker’s ...

In the wake of Washington, D.C.-based Risant Health’s acquisition of Danville, Pa.-based Geisinger Health, the organizations are requesting reduced capital requirements for Geisinger’s insurance ...

Jersey City, N.J., Mayor James Solomon hired an auditor to review health insurance claims paid by Horizon BCBS New Jersey, according to a March 17 news release. Horizon BCBS New Jersey previously ...

HSS’ Office of Inspector General estimates that BCBS Alabama received at least $7 million in Medicare Advantage overpayments, according to a March audit report. From a sample of 271 enrollee-years, ...

As of February, a share of payers and providers had not yet started working toward the application programming interface requirements established by CMS’ interoperability and prior authorization final ...

BCBS Rhode Island posted a $10 million operating loss in 2025, the insurer shared March 12. The company had a normalized operating loss of $78 million, a -3.2% margin, up from $115 million in 2024, a ...

Greenville, N.C.-based ECU Health — a collaboration between East Carolina University and Vidant Health — will start leaving UnitedHealthcare’s network April 29, according to the insurer. If an ...

BCBS Illinois has plans to bolster its claims editing and review procedure, the insurer said March 16. The process will change July 1 for office, inpatient and outpatient evaluation and management ...

Molina Healthcare President and CEO Joseph Zubretsky earned $18.3 million in 2025. The company reported the earnings of its top executives in its annual proxy report. Mr. Zubretsky earned roughly $3.6 ...

Cigna Group CEO David Cordani earned $22.9 million in 2025. The company reported the earnings of its top executives in its annual proxy report. Mr. Cordani earned roughly $400,000 less than in 2024, ...