To sign up for Becker's Payer Issues E-Newsletter or any of our other E-Newsletters, click here. If you are experiencing difficulty receiving our newsletters, you may ...

CMS is facing at least a half-dozen lawsuits over its 2025 Medicare Advantage star ratings. Alignment Healthcare is the latest MA insurer to sue CMS, alleging it acted wrongfully when assigning 2025 ...

HHS has rescinded a proposal to require ACA plans to cover over-the-counter contraceptives, Politico reported Jan. 14. Officials told the outlet the rule was rescinded to allow the agency to "focus on ...

Solera Health has received $40 million in Series E financing, co-led by Health Care Service Corp., Cobalt Ventures, Horizon Mutual Holdings, and Adams Street. HCSC is the parent company of five BCBS ...

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 ...

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 ...

Nevada has received federal approval to implement public health insurance plans on its ACA exchange, becoming the third state to do so after Colorado and Washington. The new public option health plans ...

Seven insurers or their subsidiaries were ranked among FlexJobs' top 100 companies offering the most remote positions in 2025. The list, published Jan. 9, is based on the number of fully or partially ...

UPMC Health Plan has named Chester (Chet) Ho, MD, as chief medical officer. Dr. Ho will contribute to the Insurance Service Division's business strategy and oversee the clinical and quality programs ...

Alignment Healthcare has promoted Dawn Maroney to president. Ms. Maroney was previously president of markets and CEO of Alignment Health Plan, according to a Jan. 13 news release. The Orange, ...

Anthem Blue Cross and its foundation have pledged an initial $10 million in grants for disaster response efforts amid the ongoing wildfires in Los Angeles County. The funding will go to national and ...

Payers have faced state penalties in 2024 for slow reimbursements, improper claims denials, or the sale of unapproved products. L.A. Care Health Plan will pay a $55 million penalty to California to ...