Shelby Livingston

Medicare Advantage patients are the unlikely focus of a handful of primary-care growth companies, and a few health systems too.

Anthem, a Blue Cross and Blue Shield plan that operates in 14 states, recorded the $594 million charge in the third quarter of 2020, though the settlement still must be approved by a federal court.

Rural hospital chain Ballad Health is poised to postpone elective procedures at three of its Tennessee hospitals following a spike in COVID-19 cases. 

A specialized investor that bet health insurers would prevail in a challenge over unpaid Affordable Care Act funds is now reaping rewards from the firm's gamble.

The federal government approved Georgia's plan to partially expand Medicaid to an additional 65,000 adults on the condition that they work, job-train, volunteer or pursue education for at least 80 hours a month.

UnitedHealth Group reported lower earnings in the third quarter of 2020 compared with a year ago, suggesting that the period of record profits large health insurers reaped early in the COVID-19 pandemic may have ended.

Fewer Medicare Advantage plans scored high quality ratings for their 2021 plans than the year before, according to the latest federal data.

Annual premiums for job-based family coverage rose to $21,342 on average this year, according to a Kaiser Family Foundation survey.

In August,Cigna began restricting coverage for most advanced imaging, such as MRIs and CT scans, when performed in a hospital-based department or facility.

Medicare Advantage startup Clover Health is slated to become public through a merger with Social Capital Hedosophia Holdings Corp. III, a special purpose acquisition company.

Medicare Advantage insurers are pushing into new territories and introducing new benefits in 2021, as they try to attract more members in the rapidly growing, lucrative market.

Ohio is on the hunt for health insurers interested in serving the state's 2.6 million Medicaid members.

Anthem agreed to pay $39.5 million to settle an investigation by state attorneys general into the massive 2015 cyberattack that exposed the personal information of nearly 79 million of the health insurer's members and employees.

Molina Healthcare is on a roll. The health insurer plans to buy Affinity Health Plan, a small Medicaid company in New York, which would mark the fifth acquisition deal that Molina has disclosed this year.

Short-term health plans continued to spend few dollars on members' medical claims in 2019 as enrollment in the skimpy policies ballooned, according to the latest data from the National Association of Insurance Commissioners.