Artificial intelligence has the potential to lower payer's internal and member costs, while also increasing profits, but the industry has largely not embraced these opportunities, according to a June ...

Seven payers landed among the top 25 healthcare companies on the Fortune 500 in 2024. UnitedHealth Group was the largest healthcare company on the list. The healthcare giant rose one spot to No. 4, ...

VSP Vision has named former UnitedHealth Group executive Usha Patil chief insurance officer. Ms. Patil spent 14 years in leadership roles at UnitedHealth Group, according to a June 5 VSP news release.

Cigna's Evernorth Care Group plans to cut specific specialty services and consolidate certain Arizona care locations in the next few months. The reductions will result in 261 employees being laid off, ...

Iowa and Nebraska have the highest percentage of original Medicare enrollees with supplemental benefits, while Hawaii has the lowest, according to an AHIP report published in May. The national ...

Aetna has promoted Erich Twachtman to vice president, head of commercial regions. Mr. Twachtman will lead the company's four commercial regions for its small group, middle market and public & labor ...

Payers are expecting to issue a total of about $1.1 billion in medical loss ratio rebates across all commercial markets in 2024, according to preliminary estimates published June 5 by KFF. The medical ...

Mobile, Ala.-based Infirmary Health is out of network with UnitedHealthcare as of June 4. The health system and insurer were unable to reach a new contract agreement, according to a June 5 news ...

Dual special needs plan enrollees are twice as likely to have prior authorization requests denied compared to all other Medicare Advantage members, according to KFF. According to the analysis, D-SNP ...

Payer executives are expecting AI, integrated care and an aging population to transform the healthcare landscape in the next decade. The 32 leaders featured in this article, part of an ongoing series, ...

California improperly used $52.7 million in federal Medicaid funds to pay for nonemergency care for Medicaid recipients without legal status, according to an audit from HHS' Office of Inspector ...

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Community Health ...