Nine insurers have announced they will stop offering ACA marketplace plans, either nationally or in specific states, after the 2026 plan year. The withdrawals come amid declining enrollment nationwide ...

Kansas Attorney General Kris Kobach filed a lawsuit in state court June 24 against Aetna, alleging the insurer misused tens of millions of dollars while administering the state employee health plan.

Federal prosecutors and auditors are targeting Medicaid behavioral health fraud on multiple fronts, with billions in alleged false claims under scrutiny nationally and two states alone facing audit ...

Sustainability has become less about cutting costs and more about redesigning how healthcare delivers value. Becker’s asked several health plan leaders how they’re thinking about long-term ...

Thirty-one House Democrats are seeking more information on CMS’ Wasteful and Inappropriate Service Reduction model. The lawmakers sent a letter to CMS Administrator Mehmet Oz, MD, June 22, requesting ...

Earlier in June, the HHS Office of Inspector General published two reports shedding light on post-acute care denials and overturned appeals from Medicare Advantage organizations. AHIP is pushing back.

Centene is offering a voluntary separation program to employees, the company confirmed to Becker’s June 15. “Centene is positioning the company to lead the future of healthcare — working to deliver a ...

Humana has agreed to sell “all or substantially all” of its minority interest in hospice and palliative care provider Gentiva to a group of investors in a deal valued at $900 million. The transaction, ...

Iowa’s state auditor, Rob Sand, released a report raising concerns about how pharmacy benefit managers handled prescription drug payments within Iowa Medicaid and whether the state had sufficient ...

The American Psychiatric Association and American Psychological Association Services sent a joint letter to Aetna on June 4 urging the insurer to halt reimbursement rate reductions for behavioral ...

Elevance Health is suing a former senior executive, alleging he violated a noncompete agreement when he joined Medicare Advantage insurer Alignment Healthcare weeks after resigning. The complaint was ...

ACA sign-ups during the open enrollment period for 2026 were down 5% year over year, the most substantial dip since marketplaces launched in 2014 — but that’s not even the full story. The Commonwealth ...