The Blue Cross Blue Shield system is made up of more than 30 independent and locally operated companies. While they share branding and licensing through the Blue Cross Blue Shield Association, some ...

In a session sponsored by Hippocratic AI at Becker’s 4th Annual Spring Payer Issues Roundtable, Betsy Williamson, RN, vice president, quality performance and population health at Medical Mutual of ...

Nebraska employers lead the nation in self-funded healthcare benefits, with 73% of the state’s employer-sponsored insurance structured under ERISA rather than purchased from an insurer, according to ...

Below are workforce reduction efforts or job eliminations that were announced or take effect in 2025. Insurance industry layoffs in 2024 are here. Editor’s Note: This is not an exhaustive list. This ...

President Donald Trump released a sparsely detailed healthcare policy framework Jan. 15 that calls on Congress to codify voluntary drug pricing agreements with major pharmaceutical companies, direct ...

Blue Cross Blue Shield of Michigan said it will push back the start date of its modifier 25 policy from May 1, according to a company statement and an April 15 provider alert posted by the Michigan ...

Vermont, Utah and Minnesota topped the Commonwealth Fund’s Medicare performance scorecard in 2025, whereas Kentucky, Mississippi and Louisiana struggled the most. The healthcare research foundation ...

Judge blocks ACA changes again + UHC expects to keep more MA members than it thought July 20, 2026 1. Judge pauses ACA catastrophic plan expansion, 7 other provisions Full story 2. UnitedHealthcare ...

Illinois is expanding coverage of weight-loss drugs to state employees, a move Gov. JB Pritzker’s office estimates could cost up to $210 million annually, WBEZ reported April 30. Starting July 1, the ...

Utah has the highest percentage of residents enrolled in commercial health plans (60%), New Mexico has the highest percentage enrolled in Medicaid (34%), and West Virginia has the highest percentage ...

Seven payers, including UnitedHealthcare, Molina Healthcare and Centene subsidiary SuperiorHealth Plan, were awarded contracts to manage Texas’ STAR +PLUS program, which provides Medicaid to adults ...

The NCQA published its 2025 ratings of health plans Sept. 16, evaluating plans on nearly 50 assessments of quality outcomes and member experience. Just 11 plans out of the nearly 1,000 rated received ...