The National Committee for Quality Assurance identified the standout MA plans for each state, evaluating based on nearly 50 factors that include patient experience and clinical performance. The ...

The NCQA published its 2025 ratings of health plans Sept. 16, evaluating plans on nearly 50 assessments of quality outcomes and member experience. Just 11 plans out of the nearly 1,000 rated received ...

Employers are gravitating toward “transparent” pharmacy benefit managers this year, according to a survey from the National Alliance of Healthcare Purchaser Coalitions. The 2025 “Pulse of the ...

Elevance Health is expanding its education and professional development benefits with new programs centered on artificial intelligence and career growth. The insurer is partnering with OpenAI to offer ...

The Department of Justice has filed a False Claims Act lawsuit against Inland Empire Health Plan (IEHP), alleging the Rancho Cucamonga, Calif.-based insurer misused federal Medicaid expansion funds ...

The National Committee for Quality Assurance has named the highest-quality and most-effective health plans of 2025 based on nearly 50 factors that include patient experience and clinical performance.

Two prior authorization reform bills have passed the California legislature and are headed to Gov. Gavin Newsom’s desk. The California Medical Association, which supported the legislation, said in a ...

Patients who get primary care from older adult-focused, value-based care organizations are more likely to use these services regularly, according to a study published in NEJM Catalyst: Innovations in ...

The Congressional Budget Office found permanently expanding ACA enhanced premium tax credits prior to the federal government’s Sept. 30 fiscal year end would boost the insured population by 3.8 ...

Blue Shield of California’s new CEO, Mike Stuart, brings a finance background to the chief executive role, not only as a payer, but as the former CFO of a safety-net health system. “Working in ...