Nona Tepper

In the face of industry uncertainty, leaders at provider and payer organizations say it's imperative to use resources efficiently and find mission-aligned partners.

Clover Health's legal victory could mean higher Medicare Advantage star ratings for other insurers.

A federal judge voided several provisions in the Centers for Medicare and Medicaid Services’ Affordable Care Act exchange rule from last year.

Only seven nonprofit Blue Cross and Blue Shield insurers recorded positive operating margins in 2025.

The health insurance company Monday announced a voluntary separation program for employees who may be considering a transition.

A group of cities, including Chicago, along with two nonprofits challenged the provisions last year, alleging they violated the Administrative Procedure Act of 1946.

Medicaid insurers are drafting outreach plans and setting up technology and support systems to be ready for work requirements next year.

CMS is revising 2026 Medicare Advantage Star Ratings, restoring some bonus payments and reopening the 2027 bid process.

CMS will recalculate 2026 Medicare Advantage star ratings, unlocking an estimated $428 million in added bonus payments for insurers after the Clover Health ruling.

Policy changes, high costs and narrow profit margins are behind big health insurance exchange plan rate hike requests for 2027.