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As insurers pivot their market and product strategies, executive leadership has been evolving at health plans and their parent companies. …
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There will be at least seven new carriers on ACA marketplaces in 2027, despite the continued pressures facing the wider market. Nationally, insurers have proposed a median 14% rate increase for 2027, the second straight year of double digit hikes.…
About 40% of flexible spending account holders forfeited funds in 2024, averaging $404, according to an Oct. 15 brief from the Employee Benefit Research Institute. FSAs allow for pretax contributions and tax-free distributions on qualified medical expenses. The Bureau of…
Molecular residual disease (MRD) testing is moving into the next phase of precision oncology, extending molecular insight past diagnosis and treatment selection into post-treatment monitoring, surveillance and survivorship. For health systems, the question is not whether to add another test.…
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Covered employees on average contributed $7,471 toward their family coverage in 2026, 9% more than they did in 2025. KFF published its annual benchmark health benefits survey of employers on Oct. 22. Davis Research carried out fieldwork between January and…
Newly enabled competition between Blue Cross Blue Shield plans is continuing to contribute to Elevance Health’s commercial insurance business, leadership said on the company’s quarterly earnings call Oct. 21. Dubbed the “second blue bid,” the provision stems from a $2.67…
PacificSource is laying off 134 employees in Oregon, its second round of cuts this year tied to the insurer’s decision to exit Montana and the individual line of business. The layoffs, effective Dec. 31, will affect offices in Bend, Portland,…
Value-based care promised better outcomes at lower cost. Years of effort and millions in infrastructure later, payer leaders are asking a blunt question: is it delivering? On Oct. 21, join us for a candid discussion built for payer leaders that…
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Amazon, Axon, Google, Meta and Oracle are asking the insurers and third-party administrators that run their health plans to expand electronic prior authorization upgrades, first promised under a 2025 federal pledge, to the self-funded market. CMS and the Labor Department…
As Elevance Health prepares to implement new site-of-care billing requirements, revenue cycle leaders are raising concerns about additional administrative burdens, potential payment delays and growing complexity across payers. “My broader concern is growing variation across payers, which adds cost and…
The Medicaid landscape is radically shifting, and some managed care organizations have questioned whether it is sustainable to continue in certain markets. When redeterminations restarted in April 2023 after the pandemic, average acuity increased, according to a February white paper…
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