beckerspayer

Centene posts $1.5B profit in Q1, ACA membership declines by 2 million

Centene reported $1.5 billion in net earnings in the first quarter of 2026, the company shared in its April 28 earnings report, with adjusted diluted earnings per share of $3.37 coming in ...
beckerspayer

Mississippi insurance commissioner moves toward exchange for short-term policies

Mississippi Insurance Commissioner Mike Chaney told Becker’s April 28 that he is pursuing an exchange for short-term policies, as originally reported by the Magnolia Tribune. The exchange would serve ...
beckerspayer

Oregon declares health share company an unlicensed insurer, orders it to cease operations

Oregon’s Division of Financial Regulation has ordered ClearShare Health and four affiliated entities to immediately stop selling memberships in the state, concluding that the Texas-based health share ...
beckerspayer

Employers’ GLP-1 coverage dilemma grows

Self-funded health systems have been navigating a costly GLP-1 landscape in recent years, and the issue has not seemed to lighten up — yet. Philadelphia-based Jefferson Health is one of the latest ...
beckerspayer

BCBS Alabama posts $3.2M loss in 2025

Blue Cross and Blue Shield of Alabama posted a net loss of $3.2 million in 2025. The insurer saw its profit fall to $18 million in 2024 after posting $368.6 million in net income in 2023, according to ...
beckerspayer

Humana’s CenterWell partners with Mark Cuban on employer pharmacy program

CenterWell, Humana’s pharmacy branch, is collaborating with Mark Cuban’s Cost Plus Drug Co. for an employer-based program, according to an April 27 news release. CenterWell will use Cost Plus Drugs’ ...
beckerspayer

Elevance sets aside $935M over Medicare Advantage enrollment threat

Elevance Health has set aside $935 million to cover potential costs tied to its ongoing risk adjustment data dispute with CMS, which threatens the insurers’ ability to enroll new members into some of ...
beckerspayer

Bipartisan House bill targets MA prior authorization, denial practices: 5 notes

A House bill introduced April 20 by a bipartisan group of representatives, five of whom are also physicians, aims to tighten Medicare Advantage prior authorization timelines and impose stricter denial ...
beckerspayer

UnitedHealth completes sale of UK business to TPG

TPG has completed its acquisition of Optum UK, a subsidiary of UnitedHealth Group whose core asset is EMIS Group, a healthcare software company used by the United Kingdom’s NHS. The deal closed March ...
beckerspayer

‘We want to be known as your best partner’: UnitedHealthcare leaders talk provider tensions, prior auth cuts

UnitedHealthcare’s commercial business is planning more prior authorization rollbacks and wants to be seen as a better partner to the health systems it negotiates with, the unit’s CEO and CFO said at ...
beckerspayer

The self-funded health plan that’s sending employees out of state — and cutting costs

Imagine your plan has a member in Wisconsin needing open heart surgery. The procedure would cost at least $200,000 in state, but Baltimore-based Johns Hopkins Health System could do it for $80,000.