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L.A. Care Health Plan is the largest Medicaid managed care organization in the country with more than 2.5 million enrollees, according to KFF.

Elevance Health has completed its acquisition of Indianapolis-based Indiana University Health's health plan. With the closure of the deal that was first announced in September, IU Health Plans will ...

For payers, drug formulary development and maintenance are essential for accurate reporting and tracking of prescription medications. An up-to-date and well-established classification resource can ...

CareSource has completed the acquisition of Common Ground Healthcare Cooperative, one of the last surviving ACA co-op plans. The transaction closed Jan. 1, according to a Jan. 2 news release from ...

The majority of health plan executives are focused on growth and have a favorable outlook for 2025, according to a Dec. 12 survey from the Deloitte Center for Health Solutions. Between August and ...

Insurers are facing a wave of public scrutiny and vitriol in the wake of the killing of UnitedHealthcare CEO Brian Thompson. Mr. Thompson was fatally shot Dec. 4 outside of the New York Hilton Midtown ...

Humana CFO Susan Diamond will step down after 18 years with the insurer. Celeste Mellet, the CFO of Global Infrastructure Partners, an investment fund, will be Humana's next CFO, the company said in a ...

Florida Blue is the latest insurer to sue CMS over its Medicare Advantage star ratings. In a lawsuit filed Dec. 27 in federal district court in Washington, D.C., attorneys for Florida Blue argued CMS ...

While most Medicare Advantage plans offer dental benefits, few of these benefits are comprehensive, a study published Dec. 26 in JAMA found. Here are three things to note: More than 85% of Medicare ...

UnitedHealth Group and home health company Amedisys have agreed to extend the deadline for a planned $3.3 billion merger due to a legal challenge by the Department of Justice. In a Dec. 26 regulatory ...

Two major Medicare changes signed into law in the Inflation Reduction Act will take effect in 2025. Here are five things to know about the changes coming in 2025: Beginning in 2025, out-of-pocket ...