The lawsuit names Aetna, Cigna, UnitedHealthcare, Humana, Elevance Health, Molina Healthcare, Centene and Health Care Service Corp. as defendants. The Arizona case adds to a growing body of litigation surrounding MultiPlan's out-of-network reimbursement practices.
According to Arizona's complaint, insurers allegedly shared...News
Medicare Advantage enrollment continues to grow and now covers 51.8% of all Medicare-eligible beneficiaries, yet despite 301 insurers participating in the market, enrollment remains heavily concentrated among a small group of national carriers. Nearly 78% of MA beneficiaries are enrolled in plans operated by just 10 insurers, with...White Papers, E books, Reports and more
In this report from Georgetown University, analysts reviewed five state employee health plans (SEHPs) facing the same significant increases as commercial healthcare costs: rising prices. As commercial healthcare costs rise and employer-sponsored insurance has grown increasingly unaffordable for employers and their employees, researchers...Arizona News
The Arizona, mostly non-profit insurer, also suffered a $162.2 million loss in 2024, reversing a $85.4 million net income gain in 2023. In more bad news for the company, billions from an antitrust settlement will begin flowing to consumers across the country from Blue Cross Blue Shield and its member plans, including Blue Cross Blue...Available To All
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...
Medicare Advantage has hit a rough patch. Across the board, insurers are cutting plans in unprofitable markets, contracting benefits and now implementing new requirements in order to curb usage. The Centers for Medicare and Medicaid Services (CMS) is only adding to the market's trouble by issuing notice that rates will remain the same in...
Nearly 787,000 Arizona beneficiaries began 2026 enrolled in Medicare Advantage (MA), according to CMS January enrollment files — only a modest increase from roughly 780,058 enrollees in June 2025. The muted membership gain suggests growth may be slowing in a national and local market that this year remains flat at about 51%...
Arizona’s autism therapy network is under fresh strain this week after UnitedHealthcare began terminating contracts with Action Behavior Centers, prompting new concerns about access to care for children receiving Applied Behavior Analysis therapy under Medicaid managed care plans.
Parents told AZ Family they received notices that...National Reports & Surveys
UnitedHealth Group (UHG) released its 2025 end-of-the-year report, which begins with double-digit revenue growth, then pivots to signaling a deliberate pullback in 2026 and pledges to prioritize margin repair over membership expansion, a shift with outsized implications for Medicare Advantage, Medicaid and pharmacy markets, including...
A Senate report shows that UnitedHealth Group (UHG), the parent company to the nation's and Arizona's largest Medicare Advantage (MA) insurer, UnitedHealthcare (UHC), is artificially inflating the risk adjustment scores of its MA members in order to achieve higher reimbursement from the Medicare program.
The report is based on 50,000...
New data from the American Medical Association show that Arizona’s health insurance markets remain highly concentrated as of Jan. 1, 2024, with one or two insurers holding dominant market share across commercial, Medicare Advantage, and ACA exchange products.
In the commercial market, UnitedHealth Group holds the largest statewide...
Aetna, Blue Cross Blue Shield of Arizona, Centene, Cigna, and UnitedHealthcare dominate Arizona’s commercial health insurance market, covering hundreds of thousands of residents across individual and employer-based plans, according to new data from AHIP (America’s Health Insurance Plans).
Overall, more than 3.2 million Arizonans...Arizona News
The Arizona Health Care Cost Containment System (AHCCCS) last week terminated its December 2023 ALTCS-EPD contract awards, resetting a procurement process that has been contested for nearly two years.
AHCCCS said it will issue a new request for proposals for the ALTCS-EPD program, with submissions expected in fall 2026.
Mercy Care,...Arizona News
A study published in Health Affairs Scholar examined ambulatory surgery center acquisitions by UnitedHealthcare and found that purchases were concentrated in counties where the insurer already held a large market share.
Over the past eight to 10 years, major insurers like UnitedHealthcare (UHC) have expanded aggressively into...Arizona News
On Sept. 18, 2025, a coalition of Democratic congresspeople introduced the Patients Over Profits Act, which would bar insurers and their subsidiaries from owning Medicare Part C or D providers, require divestitures of existing holdings, and prevent the Centers for Medicare and Medicaid Services (CMS) from contracting with Medicare...
The Centers for Medicare & Medicaid Services (CMS) made changes this week impacting Medicare Advantage (MA) plans as they prep for AEP — while brokers were also bracing for another hit to their commissions from the program’s dominant insurer, UnitedHealthcare.
The agency decided MA members don’t need reminders about unused...
UnitedHealthcare has filed suit against Radiology Partners and its Arizona-based affiliate, Sonoran Radiology, accusing the company of abusing the No Surprises Act’s independent dispute resolution (IDR) process and funneling “millions into the pockets of its private-equity owners.”
According to Becker's Payer Issues, the case...
AHCCCS said members in its Arizona Long Term Care System for the elderly and physically disabled will remain with Banner, Mercy Care and UnitedHealthcare plans for another year after the agency extended existing contracts through Sept. 30, 2026.
New ALTCS EPD contracts were set to begin Oct. 1, 2025 with Mercy Care, Banner–University...National News
It has been a tough year for insurers in the Medicare Advantage market. After years of threatening to exit the market if profits plateaued, companies like Humana, CVS Health and UnitedHealthcare are planning to recoup losses by cutting benefits and leaving lower-yield markets.
Humana and CVS moved to scale back their Medicare...
This analysis of Arizona Rate Review Submissions by The Hertel Report only includes filing by returning Arizona Marketplace insurers, which offers insight into expected premium costs and the drivers of expected increases for 2026 Arizona plans marketed on HealthCare.gov
Arizona rate review submissions to the Arizona Department of...
