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Payer executives are focused on staying adaptable in 2025. Becker's connected with 20 executives to learn how they are leveling up their leadership skills in 2025. Like what you see here? Join us at ...

Oklahoma Medicaid Director Traylor Rains is leaving the role at the end of January for a job with consulting firm Deloitte, StateImpact Oklahoma reported Jan. 17. Mr. Rains has served as the state's ...

The medical cost challenges that have challenged insurers in 2024 will not be going away in 2025, UnitedHealth Group executives said. The nation's largest insurer reported its fourth-quarter and ...

Though Medicare Advantage beneficiaries are more likely to have coverage of vision, dental and hearing services, they are not more likely to use these services than their peers in traditional Medicare ...

UnitedHealth Group reported record revenue in 2024, but profits declined as the company continues to grapple with costs associated with the February cyberattack on Change Healthcare and headwinds ...

Centene's 'Ohana Health Plan has partnered with homeless services provider Hope Services Hawaii on a new residential program for integrated clinical care. The program will provide housing support for ...

Optum Rx will pass 100% of the rebates it negotiates for drugs onto its consumers by the end of 2028, UnitedHealth Group CEO Andrew Witty told investors. On the company's fourth-quarter earnings call ...

Two relatively new insurers in the Medicare Advantage market saw spikes in enrollment for 2025 Clover Health, launched in 2014, grew its Medicare Advantage membership 27% year-over-year, according to ...

Texas has the highest Medicaid spending as a percentage of total state expenditures, while Wyoming has the lowest, according to KFF. The data is from states' fiscal year 2023 and excludes ...

L.A. Care Health Plan is the largest dual enrollment managed care plan in the country, with 247,000 enrollees, according to KFF.

CMS will implement policies meant to crack down on fraud in the ACA marketplace. The agency published the 2026 final rule for ACA plans Jan. 13, and the regulations take effect Jan. 15. CMS will ...