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 ...

As a growing number of hospitals and health systems walk away from Medicare Advantage contracts, Cleveland Clinic is moving in the opposite direction, betting that the path forward runs through the ...

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, ...

Optum Rx — the pharmacy benefit manager for UnitedHealth Group — claims its “PreCheck” prior authorization tool not only cuts prescription approval times but also reduces denials and appeals.

Elevance Health is the latest insurer to tout hefty tech investments on an earnings call, with President and CEO Gail Boudreaux boasting a $1 billion spend across digital and AI capabilities. “We’re ...

UnitedHealth Group posted $6.28 billion in profit for the first quarter of 2026, dipping slightly compared to the same period last year. The company released first-quarter earnings April 21, raising ...