Humana and CommonSpirit hospitals in Colorado will go out-of-network Jan. 1, 2025. The contract split applies to Humana Medicare Advantage plans, according to a statement CommonSpirit shared with ...

Premera Blue Cross recognized the need for strong ethical commitments around AI even before the rise of ChatGPT and other easily accessible generative AI models. Adrian Mayers is chief information ...

Aetna is laying off 164 remote employees "due to an unexpected loss of contract in Kansas." The layoffs will take place in February 2025, according to regulatory documents filed with Connecticut ...

Independent Health will pay up to $98 million to settle allegations a now-defunct subsidiary knowingly submitted invalid diagnoses to boost Medicare Advantage payments. According to a Dec. 20 news ...

Sanford Health Plan is expanding its Medicare Advantage offerings to more rural communities. In December, Sanford Health Plan, part of Sioux Falls, S.D.-based Sanford Health, partnered with Lincoln, ...

Enrollment on the ACA marketplace reached 16.6 million consumers as of Dec. 18. The surge in enrollments comes after a slow start. As of Dec. 4, 5.4 million people had enrolled in federal ACA ...

Startup insurer Sidecar Health has inked a transparent pricing agreement with The Ohio State University Wexner Medical Center. The fixed-price model removes prior authorizations and network ...

ICHRA broker platform Remodel Health has raised more than $100 million in growth funding. Remodel offers a platform to support employers and employees with launching and accessing ICHRA plans, ...

Georgia's Medicaid contract awards could cause three in four Medicaid recipients in the state to switch plans, according to Centene CEO Sarah London. The state said it would grant Medicaid contracts ...

Our healthcare system badly lags other industrialized nations in terms of what we spend and the outcomes we achieve, and the culprit is fairly obvious: we spend five times our peer nations on ...

L.A. Care Health Plan named Martha Santana-Chin as its next CEO in December. McLaren Health Care named Jessica Cromer as president and CEO of the McLaren Integrated HMO Group in December, the ...

New York City must pay for the cost of any plan it offers to its retired employees, the state's appeals court ruled, complicating its path to implementing a Medicare Advantage plan. The city has ...