Founded in 2023, Texicare — a Texas Mutual affiliate — offers health coverage to small businesses throughout the state. Texicare President and CEO Meredith Duncan previously worked at Aetna, Bright ...

CMS estimated there were $28.83 billion in improper payments for Medicare fee for service in fiscal 2025. “While CMS’ improper payment reporting programs are designed to protect the integrity of CMS ...

Clover Health reported 53% year-over-year growth in Medicare Advantage PPO membership, according to a Jan. 14 news release from the insurer. The growth translated to roughly 153,000 members, building ...

Four hospitals under Grand Rapids and Southfield, Mich.-based Corewell Health are no longer in UnitedHealthcare’s network, according to a Dec. 31 update from the insurer. As of Jan. 1, ...

Forty-six percent of New Yorkers would not be able to take on an unanticipated $1,000 medical bill without going into debt, according to a Jan. 12 MetroPlusHealth Care Crunch Index survey.

ACA marketplace enrollment is declining nationally and Congress is struggling to extend the expired subsidies. 2. ACA marketplace enrollment dropped to 22.8 million for 2026, down 3.4% from the same ...

Alignment Healthcare added roughly 65,000 members in 2025, bringing its total enrollment to about 275,300 as of Jan. 1. The Medicare Advantage insurer disclosed the 31% year-over-year growth on Jan.

UnitedHealth Group leveraged “aggressive strategies” to secure higher-paying Medicare Advantage diagnoses, according to a Jan. 12 Senate report. The Wall Street Journal initially covered the news.

Grocery chain Albertsons is suing the Cigna-owned pharmacy benefit manager Express Scripts for at least $10.9 million for alleged prescription underpayments, according to a Jan. 7 complaint shared by ...

Insurance commissioners significantly shape the industry’s regulatory landscape in each state. A handful even come from healthcare backgrounds, specifically. Becker’s compiled a list of these leaders ...

Aetna’s Medicaid President, Mark Santos, has been named senior vice president and head of network strategy and provider experience. Mr. Santos has been with the insurer for more than two decades, ...

Oakland, Calif.-based Kaiser Permanente has agreed to pay $556 million to resolve allegations that it violated the False Claims Act by submitting invalid diagnosis codes for Medicare Advantage ...