HCA Healthcare facilities in Florida and Texas are now out of network with Cigna, and negotiations appear to be tense.

Americans are embracing the prospect of higher life expectancies but worry about the financial tradeoffs, including healthcare costs, retirement income, and outliving their savings.

The Trump administration has begun sending $500 checks to more than 950,000 people in 30 states it says were overcharged through the ACA’s federal exchange, according to information an administration official shared with Becker’s.

The network contract between Alaska Regional Hospital and Premera BCBS of Alaska is scheduled to expire on September 30, 2026.

Temple Health-Chestnut Hill Hospital and Jefferson Health Plans have reached a new provider network contract agreement.

Satisfaction with pharmacy benefit managers has stabilized in 2026, though the likelihood of contract renewal without a competitive request for proposal declined, a new

With Medicare's annual enrollment period on the horizon, major insurers are offering a look at their plans for the coming year as new federal data offers a broader view of the current landscape.

CMS has finalized the Global Benchmark for Efficient Drug Pricing (GLOBE) Model, a mandatory payment model that will tie Medicare Part B drug rebates to prices paid in 19 reference countries, according to a Sept. 30 CMS news release.

Scripps Health and Anthem Blue Cross have reached a new multi-year agreement, but only for PPO and EPO members.

NEW YORK, Oct 1(Reuters) - US health insurers including UnitedHealthcare and CVS Health's Aetna will shift to offer more Medicare Advantage plans that limit provider access ‌for enrolled users, the…

NewYork-Presbyterian and UnitedHealthcare have agreed on a further extension of in-network coverage through September 30, 2026.

Eight health system-affiliated insurers are among the 12 total health plans exiting the Medicare Advantage market for 2027, according to CMS data.

Legacy Health and UnitedHealthcare have reached a new, multi-year provider network agreement.

UnitedHealthcare and USA Health have agreed to extend contract negotiations through October 31, 2026.

While Democratic congressional candidates are floating the restoration of federal Affordable Care Act subsidies and Medicaid funding, Oregon officials are crafting a more ambitious plan to implement…

Avina Women's Care and UnitedHealthcare have reached a new, multi-year provider network contract.

Just how easy is it for a minor administrative error to cause a health insurance claim denial? The answer: very. A look at the CMS-1500 form shows us why.

A September 2026 American Medical Association Policy Research Perspective analyzed Decision Resources Group data on PBM and insurer market shares from 2022 to 2024. Together, the four largest PBMs controlled 75% of the national market, up from 70% in 2022.

The insurance industry is facing a distribution challenge as consumers gain unprecedented access to information while the advisor ranks continue to shrink, panelists agreed during a closing session Tuesday at the 2026 LIMRA Annual Conference.

Worried about Medicare in 2027? IMPORTANT NOTICE: Significant market disruptions are coming to Medicare plans...

Providence Washington and Cigna have reached an agreement. Members should experience no disruptions in coverage.

New customs requirements taking effect Oct. 22 could disrupt access for millions of Americans who buy prescription drugs from Canadian and other foreign mail-order pharmacies, according to a Sept. 24 report from The Wall Street Journal.

Norman Regional Health and UnitedHealthcare have reached a contract agreement. Members should experience no disruptions in care.

Elevance Health plans to require hospitals to identify the physical location where care was provided on billing forms and adjust payments for off-campus services accordingly.

The Congressional Budget Office estimated 100,000 more immigrants will be uninsured by 2034 because of Medicaid eligibility changes under President Trump’s One Big Beautiful Bill Act that take effect…

UnitedHealthcare and TeamHealth have settled a lawsuit in which the insurer accused the physician staffing company of upcoding emergency department claims.

The bill would repeal most of the healthcare provisions in the 2025 reconciliation law, including Medicaid work requirements set to go into effect in 2027. The temporary 2026 increase to the Medicare physician fee schedule, the permanent telehealth safe harbor for high-deductible health plans and the Rural Health Transformation Program would not be reversed.

The death penalty is legal in 27 states, and lethal injection is the primary method. That means involving medical professionals to store, test, and inject the drugs. After a botched execution in…

Lakeland Regional Health and UnitedHealthcare have reached a new three-year provider network contract agreement.

Kids born with certain congenital infections are approximately three times more likely to be diagnosed as having autism, according to a study out of the Karolinska Institutet in Stockholm, Sweden.

State leaders are pursuing reforms to cut unnecessary commitments, expand voluntary treatment and improve follow-up mental health care.

Studies from insurers say AI-backed billing tools used by providers raise health costs. But the companies making those tools say the problem isn’t with AI — it’s with the healthcare billing system.

The individual Medicare Advantage contract between White River Health and UnitedHealthcare expires on December 31, 2026.

The Trump administration is projecting significant declines in premiums for Medicare Advantage plans in 2027. | The Trump administration is projecting significant declines in premiums for Medicare…

Two competing bills in the Ohio Legislature would rein in companies have stalled.

Negotiations between Sentara and Anthem BCBS remain tense, with provider network contract expirations beginning December 31, 2026.

In Alabama, Blue Cross holds 84% of the private insurance market, according to the American Medical Association. That’s the largest share of a statewide market by any one insurer in America.

Autism diagnoses have skyrocketed over the past few decades, prompting a debate among scientists. Is the biological rate of autism actually rising, or is society simply naming the condition more…

Some states have considered barring companies that own a PBM from also owning brick-and-mortar pharmacies, as CVS does. Two states have followed through. A similar proposal at the federal level has…

Fair Health, a healthcare data company, analyzed commercial claims data from the September 2025 release of its FH Total Treatment Cost benchmarks. The totals cover inpatient and outpatient facility and professional costs.

Rothman Orthopaedics will remain in-network with Highmark Blue Shield in Pennsylvania.

A California-based benefits plan is reporting that Adventist Health and Aetna's Medicare Advantage contract has been extended through October 31, 2026.

The corporatization of the health care system by private equity has come with significant costs. While private equity’s ownership of hospitals may earn millions for their investors, they have put p…

The contract between Praxis Health and UnitedHealthcare, except for members in Washington, expires on December 31, 2026.

Providence providers in Oregon and Washington will be out-of-network for some UnitedHealthcare Medicare Advantage plans after December 31, 2026.

The network contract between AdventHealthFlorida and UnitedHealthcare expires on December 31, 2026.

Public threats by hospitals or insurers to end network contracts are concentrated in markets where neither side dominates, according to a study published Sept. 23 in Health Affairs.

Oscar Health is moving its Florida-based employees from traditional group medical plans to Custom Health Option and Individual Care Expense arrangements — formerly known as individual coverage health reimbursement arrangements — in 2027.

Health tech company CertifyOS is launching a new national model for provider credentialing, with several major payers already on board as participants. | Health tech company CertifyOS is launching a…