Health insurers are holding their first quarterly calls with investors for 2026; UnitedHealthcare appears to be back on track after a rocky 2025, and Centene is reportedly holding steady despite losses from surging ACA premiums.
Centene's profits rose 17.5% to $1.5 billion in the first quarter with revenue increasing 7.1% to $49.9...
Inaccurate provider directories, also called "ghost networks," are the subject of two recent lawsuits against health insurers.
Last year, ProPublica reported on the death of Ravi Coutinho after he was unable to find adequate mental health and addiction treatment in Phoenix that was covered by the health insurance plan he purchased...
Anthem Blue Cross Blue Shield of New York, a subsidiary of Elevance Health, faces a proposed class action from policyholders accusing the insurer of listing out-of-network providers, especially for mental healthcare, in its directories. These so-called "ghost networks" deter patients from accessing care, inflate costs, and create...
On September 8, 2024, The Arizona Health Care Cost Containment System (AHCCCS) dismissed the recommendation of an administrative law judge and denied the appeal of Mercy Care, Health Choice Arizona and Banner-University Family Care after all three local non-profits contested the agency's award of its Arizona Long Term Care EPD contracts...Arizona News
This year's surprising exit of Bright Health on the Marketplace leaves $4 billion in ACA revenue up for grabs for brand name giants including UnitedHealthcare, Centene, Cigna, and CVS, but it's some lesser known short-term plans and Healthcare Sharing Ministries that are also gaining consumer attention with deceptive marketing touting...Arizona News
The lawsuit filed August 5 features an Arizona plaintiff and alleges the insurer has used a "churn-based strategy" that leveraged its role as a Medicaid insurer to boost enrollment in its Marketplace plans, which were allegedly in violation of network adequacy regulations, supplied beneficiaries with inaccurate provider directories, and...
In the wake of a pandemic that forcibly accelerated the adoption of telemedicine, insurers are starting to offer virtual-first plans at lower costs and they are being met with both enthusiasm and concern.
Some of the biggest players in health insurance—Humana, UnitedHealthcare, Kaiser Permanente—have started offering...
The special enrollment period for individual health care plans offered through the Affordable Care Act has been a boon for major health insurers participating in the Marketplace. But many insurers are concerned that extending the SEP could cause unintended issues for insurers and enrollees alike. Also, the Brookings Institute says that...
Maricopa isn't the only county seeing more choice in the Affordable Care Act (ACA) exchanges this year; Pima County residents have their choice from three health plans, an abundance compared to last year's singular choice, Ambetter from Health Net.
Blue Cross Blue Shield of Arizona (BCBSAZ) along with Bright Health will be joining...
