UnitedHealth Group continues to be the largest health insurer in the U.S., with nearly 45 million members in 2025, according to the Peterson-KFF health system tracker. The data is from Mark Farrah ...

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 ...

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 ...

Traditional Medicare could have saved $7 billion from 2019 to 2023 across four services had it mirrored Medicare Advantage’s utilization rates and fraud strategies, according to a December Berkeley ...

Throughout 2025, health insurance leaders have weighed in on the role AI should play in the industry, from advancing operational efficiencies to integrating with consumer-facing technology. Here 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 ...

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 ...

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 ...

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 ...

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 ...