Imagine your plan has a member in Wisconsin needing open heart surgery. The procedure would cost at least $200,000 in state, but Baltimore-based Johns Hopkins Health System could do it for $80,000.

Roughly 50 insurers signed an AHIP (formerly America’s Health Insurance Plans) and Blue Cross Blue Shield Association commitment to standardize electronic prior authorization across most medical ...

The Connecticut Insurance Department fined Aetna, Cigna, ConnectiCare, UnitedHealthcare and Anthem over alleged mental health parity violations, according to an April 15 department report. The report ...

Blue Cross Blue Shield of Michigan will relocate 130 employees from its suburban Cascade office to its downtown Grand Rapids building, according to an April 21 news release. In May, renovations will ...

Editor’s note: This list only reflects the compensation categories each person received. At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives ...

Part One of a series on how EviCore by Evernorth® is helping health plans comply with upcoming interoperability requirements. Beginning January 1, 2027, impacted payers must meet the application ...

For years, employers absorbed rising healthcare costs quietly: adjusting plan designs, shifting more expense to workers and hoping the next contract cycle would bring relief. That era may be ending.

UnitedHealth Group CEO Stephen Hemsley topped the list of the highest-paid payer CEOs in 2025 — and it wasn’t by a small margin. The caveat is, as Mr. Hemsley stepped back into the C-suite in 2025, ...

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory ...

UnitedHealth Group is moving up its share repurchase timeline, announcing plans to deploy at least $2 billion in buybacks by the end of the second quarter. The accelerated timeline is well ahead of ...

CMS is holding off on its voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” model pilot for Medicare Part D, the agency confirmed to Becker’s April 21. Under BALANCE, ...