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HHS has rescinded a proposal to require ACA plans to cover over-the-counter contraceptives, Politico reported Jan. 14. Officials told the outlet the rule was rescinded to allow the agency to "focus on ...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

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 ...

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, ...

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 ...

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 ...

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 ...

The Supreme Court said Jan. 10 it would hear the landmark case that challenges a federal task force’s authority to require insurers to cover preventive care services under the ACA. Braidwood ...

Blue Shield of California is the latest Blue Cross Blue Shield company restructuring to keep up with the rapidly evolving payer landscape. In January, the nonprofit insurer launched a new, nonprofit ...