Indiana lawmakers have passed legislation banning health insurers from penalizing hospitals for using out-of-network providers, a direct rebuke of Elevance Health in its home state. The bill received ...

Medicare Advantage growth is slowing down as payers prioritize margins over membership, and some states are recording a decline in enrollment for the first time, according to a Feb. 26 report from ...

CMS is freezing $259.5 million in federal Medicaid funding to Minnesota, citing unsupported or potentially fraudulent claims in the state’s program. “We have decided to temporarily halt certain ...

Montgomery, Ala.-based Jackson Hospital is suing BCBS Alabama amid the hospital’s bankruptcy proceeding, according to a Feb. 16 filing with the Middle District of Alabama’s U.S. Bankruptcy Court.

President Donald Trump used his State of the Union address Feb. 24 to plug TrumpRx, criticize the ACA and call out possible Medicaid fraud. While the president addressed affordability more broadly, ...

A coalition of more than 60 employer groups, insurers, patient advocacy and labor organizations sent a letter Feb. 24 to the Treasury Department, Labor Department and HHS, urging the Trump ...

Business services provider Conduent’s data breach affected at least 25 million people across the U.S., according to a February update from Wisconsin’s Department of Agriculture, Trade and Consumer ...

CMS has suspended new Medicare Advantage enrollment into Aspirus Health Plan, part of Wausau, Wis.-based Aspirus Health, after the insurer’s claims processor, UCare, was taken over by Minnesota ...

Researchers identified 13.4% of young adults with and 35.6% without complex medical conditions ended up disenrolled from Medicaid at 19 years old, according to a study published Feb. 16 in JAMA ...

CMS outlined next steps for its Medicare Advantage provider directory and shared plans to “beta launch” a broader National Provider Directory later this year, according to a Feb. 18 document. The ...

Medicare Advantage now covers about 55% of eligible beneficiaries nationwide — more than 35 million people — but health systems are confronting a question that until recently felt almost taboo: What ...

Through a multiyear agreement, Farmington-based University of Connecticut Health will go back in network for Aetna commercial and Medicare Advantage members starting March 1, an Aetna spokesperson ...