Coming into 2025, health insurance industry leadership encountered overwhelming uncertainty. Following last year’s fatal shooting of UnitedHealthcare CEO Brian Thompson, insurers — including their ...

Nearly half of health plan coverage denials that reached independent medical review were overturned between 2019 and 2023, with significant variation by state, according to a Health Affairs study ...

Kaiser Permanente is the largest insurer by enrollment in the fully insured large group market, UnitedHealth Group is the largest within the fully insured small group market, and Centene is the ...

Insurers are publishing incomplete price transparency data, with hospital inpatient information particularly sparse, according to a study published in the American Journal of Managed Care in December.

Traditional Medicare could have saved $7 billion from 2019 to 2023 across four services had it mirrored Medicare Advantage’s utilization rates and fraud strategies, according to a December Berkeley ...

UnitedHealth Group continues to be the largest health insurer in the U.S., with nearly 45 million members in 2025, according to the Peterson-KFF health system tracker. The data is from Mark Farrah ...

Throughout 2025, health insurance leaders have weighed in on the role AI should play in the industry, from advancing operational efficiencies to integrating with consumer-facing technology. Here are ...

Highmark recently shared how it increased generic and biosimilar access to members, focusing on drugs for multiple sclerosis, cancer and autoimmune conditions. The insurer has been working with ...

The payer-provider relationship is continually evolving. Becker’s connected with 13 health plan leaders to find out which part of that relationship they would change. Like what you see here? Join us ...

Aetna and Providence Oregon have reestablished their contract, according to a Dec. 4 post from the hospital network. The multiyear agreement brings the hospitals back in network after nearly a year.

As the end of 2025 approaches, so do a handful of payer-provider agreements. Earlier this year, the number of contract disputes were down. While some insurers and health systems reach a resolution — ...

For women and children in 2025, Massachusetts is the healthiest state in the nation while Louisiana is the least healthy, according to the “America’s Health Rankings 2025 Health of Women and Children ...