Insurers are updating reimbursement policies that include new rules surrounding remote monitoring and inpatient reimbursement. Here’s a look at some of the most recent notable updates. BCBS North ...
Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study ...
Average worker contributions toward family insurance premiums grew by 308% between 1999 and 2024, according to a Dec. 8 research letter published in JAMA Network Open. Researchers from Rice University ...
CMS issued a bulletin Dec. 8 outlining guidance on Medicaid’s forthcoming work requirements. Some states are already embracing work requirements, while others are looking for exceptions. Here are ...
UCare is laying off roughly 250 employees in early January as the Minneapolis-based nonprofit insurer moves toward shutting down, the Minnesota Star Tribune reported Dec. 12. Another 650 workers are ...
Wisconsin Democratic Gov. Tony Evers vetoed a State Assembly bill that prevents immigrants lacking permanent legal status from getting healthcare reimbursement Dec. 5, despite these individuals ...
The 12 months since UnitedHealthcare CEO Brian Thompson was fatally shot have been among the most turbulent in UnitedHealth Group’s history. The company has cycled through senior executives, disclosed ...
For women and children in 2025, Massachusetts is the healthiest state in the nation while Louisiana is the least healthy, according to the “America’s Health Rankings 2025 Health of Women and Children ...
Aetna is bundling pharmacy prescriptions and medical procedures into a single clinical review, according to a Dec. 4 news release. Providers previously had to submit two prior authorizations, but, as ...
Ann & Robert H. Lurie Children’s Hospital of Chicago will not accept any ACA plans in 2026, according to the hospital’s website. “Lurie Children’s is currently not contracted and out of network with ...
CMS is reminding state insurance departments that federal law preempts any efforts to regulate Medicare Advantage broker compensation and marketing practices. Over the last year, many insurers have ...
Seventy-seven percent of Americans who reviewed their health plan choices for 2026 “felt good” about their options, according to a Dec. 3 eHealth survey. The health insurance marketplace surveyed more ...