Jakob Emerson

PacificSource Health Plans will exit the individual insurance market and cease all operations in Montana at the end of the year, the company confirmed to Becker's

Legacy Health-backed insurer PacificSource will exit Montana and the ACA individual market, impacting 42,000 members and prompting layoffs.

“The PBM space is at an inflection point with rising utilization, accelerating cost pressures, and a technology landscape that is genuinely reshaping member expectations and how value gets delivered,” Mr. Bosland wrote May 22 on Linkedin. “The scrutiny of the industry is real, and so is the opportunity to lead differently.”

Point32Health reported an adjusted net income of $248 million in the first quarter, a sharp reversal from a $21 million adjusted net income a year prior.

UnitedHealth PBM names CFO Jon Bosland, who brings experience from GE Vernova and Dell Technologies to lead Optum Rx's financial strategy.

Advertisement Mosaic Health, a national primary care venture between Elevance Health and private equity firm Clayton, Dubilier & Rice, has named Doug Wenners as CEO.

Advertisement The Trump administration has finalized an overhaul of the No Surprises Act's independent dispute resolution process, establishing

Highmark posts 216M operating income in Q1 on $8.3B revenue, driven by health plans and Allegheny Health Network performance.

Hospitals see some slippage in Medicare Advantage amid rising disputes over denials, prior authorizations and payment delays from insurers.

UnitedHealthcare scale back pediatric prior auth requirements for diagnostic, surgical, and specialty care by end of 2026 across commercial and Medicaid…