Of employed adults who could be enrolled in Medicaid expansion and face upcoming work requirements, 19.8% are at risk of ...

The Labor Department is proposing a rule that would set criteria for employer associations to sponsor association health plans that qualify as employee welfare benefit and group health plans under the ...

Cigna Healthcare is launching a product that bundles supplemental health benefits directly into high-deductible health plans. The product, Medical with Smart Coverage, will be available in 2027 for ...

CMS said its enforcement efforts have resulted in blocking more than $1.6 billion in possibly improper Medicare lab payments throughout President Trump’s administration. An Aug. 28 CMS news release ...

The California Legislature has passed a California Medical Association-backed bill that extends the validity of approved prior authorizations to one year, and the bill now heads to Gov. Gavin Newsom’s ...

A state grand jury determined that $10 million from a Centene Medicaid settlement was “misappropriated” under Florida Republican Gov. Ron DeSantis’ administration, according to a Jan. 28 sealed ...

The Villages (Fla.) Health, a primary and specialty care provider group, has agreed to pay $541.5 million to resolve allegations that it violated the False Claims Act by submitting improper Medicare ...

Medi-Cal enrollment decreased by 730,000 members from June 2025 to March 2026. The data came from the California Department of Health Care Services. A July analysis from California Health Care ...

Maryland Attorney General Anthony Brown has filed a lawsuit against UnitedHealth Group and Optum, seeking $380 million in damages stemming from alleged issues administering a Medicaid behavioral ...

Arkansas Blue Cross and Blue Shield and Little Rock, Ark.-based CHI St. Vincent, under Chicago-based CommonSpirit Health, are nearing their Sept. 1 contracting deadline without an agreement. On Sept.

A federal judge has given final approval to a $14.75 million settlement between Elevance Health and a group of nurses who alleged the insurer misclassified them as exempt from overtime pay. U.S.