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 ...

Eight insurers have announced they will stop offering individual ACA marketplace plans, either nationally or in specific states, after the 2026 plan year. The withdrawals come amid declining ...

CMS is proposing to create a new payment pathway for algorithm-driven diagnostic software, including AI tools, as part of its 2027 Hospital Outpatient Prospective Payment System and Ambulatory Surgery ...

Kansas Attorney General Kris Kobach filed a lawsuit in state court June 24 against Aetna, alleging the insurer misused tens of millions of dollars while administering the state employee health plan.

Payers are continuing to trim their workforces amid financial pressures, growing medical and pharmacy utilization, Medicaid funding cuts and strategic restructuring. Below are workforce reduction ...

The House Appropriations Committee moved forward with an amendment that would block funding for a CMS pilot that brings prior authorization requirements to traditional Medicare. The lawmakers adopted ...

A federal judge in Georgia has ruled in favor of Clover Health in its lawsuit challenging its 2026 Medicare Advantage star ratings. In a May 27 opinion, U.S. District Judge Lisa Godbey Wood partially ...

The average American covered by an employer health plan is projected to spend $8,460 on healthcare this year, up from $7,838 in 2025, according to Milliman’s 2026 Medical Index released May 20. The ...

Elevance Health has named 45 primary care practices and health systems to its annual Care Provider Recognition Program, recognizing the top 1% of primary care providers for excellence in delivering ...

Cigna’s predictive, high-cost claimants model is saving the company an average of $2,000 per participating member each year, incoming CEO Brian Evanko said during an April 30 earnings call. Cigna’s ...

Cigna is exiting the exchange business at the end of the year, the company’s incoming CEO, Brian Evanko, said during its April 30 first quarter earnings call. “We did not make this decision lightly,” ...

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory ...