UnitedHealth Group CFO John Rex will step down from the role in September and the company went with an outside choice for his successor. Here are six things to know about Wayne DeVeydt, who begins his ...

As people’s health needs become more complicated, they’re looking for more support from those who help them stay healthy. What they want most is a trusted partner to guide them through the ...

In June, Cigna began launching a suite of new AI tools designed to help members better navigate their health benefits. The new features are being rolled out in phases on Cigna’s member portal, where ...

The nation’s largest payers have filed their second-quarter earnings reports, revealing which companies recorded the largest profits for the three months ended June 30. 1. UnitedHealth Group: $3.4 ...

CMS will move ahead with Medicare Advantage risk adjustment changes the health insurance industry opposed, but the agency will phase in the model over three years.

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 ...

CMS is implementing a final rule that will shorten the open enrollment period on the ACA exchange and create stricter eligibility verifications for enrollees. In a June 20 news release, the agency ...

CMS issued its final 2025 Medicare Advantage and Part D rule April 4, setting new standards around marketing, broker payments, and prior authorization.

Cigna Healthcare offers the best digital experience to commercial members, while UPMC Health Plan provides the best experience to Medicare Advantage enrollees, according to J.D. Power’s 2025 U.S.

Medicare Advantage companies receive billions in "questionable" payments through in-home visits and chart reviews, raising concerns about the validity of diagnoses.

Oregon health officials are weighing a potential cap on commercial health insurance payments to hospitals in an effort to address rising costs, the Oregonian reported July 15. According to the report, ...

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 ...