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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

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 ...

The Cigna Group’s Evernorth recently shared plans for a rebate-free pharmacy benefit model. The move could simplify drug pricing, but leaders on Cigna’s Oct. 30 earnings call warned of some potential ...