UnitedHealth Group and home health company Amedisys have agreed to extend the deadline for a planned $3.3 billion merger due to a legal challenge by the Department of Justice. In a Dec. 26 regulatory ...

Climate change is becoming an increasingly urgent challenge for the health insurance industry, "The top trends that I am following are climate change and geriatric care," Pleasant Radford, Health ...

HHS' Office of Inspector General has issued a special fraud alert about the risks of fraud and abuse in certain marketing and compensation arrangements related to Medicare Advantage. The December ...

2024 was a tumultuous year for Medicare Advantage. Increased government scrutiny, tighter CMS regulations, reduced base payments and rising healthcare costs are putting pressure on the program.

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 ...

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 ...

Payers partnered with Google, Instacart and other tech companies in 2024. Here are eight deals to note from this year: Molina Healthcare partnered with Instacart in Michigan to address food insecurity ...

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, ...

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 ...

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 ...

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 ...