Providence hospitals across California are the latest to sue Kaiser Permanente over allegations that the organization’s health plan has underpaid for emergency and post-stabilization care provided to ...

A SelectQuote shareholder has filed a proposed class action lawsuit against the insurance broker and its top executives, alleging the company misled investors about its operations and financial health ...

New Hampshire Gov. Kelly Ayotte has signed legislation banning surprise ground ambulance billing and establishing reimbursement rates insurers must pay for services. Beginning Jan. 1, 2026, ambulance ...

In today’s evolving healthcare environment, connection has never been more vital. Connection – the sense of being understood and supported – is what transforms healthcare from a transaction into a ...

From 16 years to a few months, here are the CEO tenures at seven of the nation’s largest payers. 1. Cigna: David Cordani. CEO since June 2009. 2. Molina Healthcare: Joseph Zubretsky. CEO since ...

Aetna is rolling out a new inpatient reimbursement policy for its Medicare Advantage and Special Needs Plans, effective Nov. 15. “Our goal is simple: We want to help you get reimbursed faster for ...

Six things to know about the two-midnight rule and how it applies to Medicare Advantage: 1. In the 2014 Medicare inpatient prospective payment system final rule, CMS included a new regulation for ...

"UnitedHealthcare announces plans to cut prior authorization requirements by 10% in 2025, starting with elimination of home health authorizations.

A former Medicare Advantage executive has been found not guilty of healthcare fraud. A jury found Kenia Valle Boza, the former director of Medicare risk adjustment analytics for HealthSun Health Plans ...

Blue Shield of California is conducting a second round of layoffs this year, with 138 more employees being laid off in September. The majority of the layoffs affect employees in Oakland and El Dorado, ...

Patient expectations will push healthcare to evolve by 2030, according to 23 payer executives. Leaders said AI, new models of care and a push toward convenience will transform healthcare in the next ...

Blue Cross and Blue Shield of Louisiana has lost its legal challenge against CMS over how its 2025 Medicare Advantage star ratings were calculated. On July 9, the U.S. District Court for the District ...