Hawaii has the highest share of employers that offer health insurance to their employees, while Wyoming has the lowest, according to state-level data published by AHIP in July.

Basing Medicaid drug prices on what other wealthy countries pay could save 47 states and the District of Columbia a combined $8.6 billion — about 35% of net spending on the drugs studied — according ...

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 ...

UnitedHealth Group posted nearly $5.5 billion in profit for the second quarter of 2026, up sharply from the same period last year. The company released second-quarter earnings July 16, raising its ...

Elevance Health plans to exit additional Medicaid markets over the next 12 to 18 months where it doesn’t see a viable path forward, executives said July 15 during the company’s second-quarter earnings ...

Blue Cross and Blue Shield of North Carolina won the state’s third-party administrator and pharmacy benefit manager contracts for the state health plan effective Jan. 1, 2028. Blue Cross NC previously ...

Insurers estimate that they will pay more than $759 million in medical loss ratio rebates across commercial markets in 2026. KFF’s preliminary analysis is based on insurer-reported financial data from ...

CMS has rescinded a decade-old “fast-track” review process for certain Medicaid Section 1115 demonstration waiver extensions as the agency prepares to implement new federal budget neutrality ...

Support for expanding Medicare into a government-run health plan for everyone swings by nearly 20 percentage points depending on how the idea is described to voters, according to new polling that ...

UnitedHealth Group still expects a Medicare Advantage enrollment loss for 2026, but the company lowered its projection on a July 16 earnings call. During the company’s fourth-quarter and full-year ...

Learn more about the "4th Annual – Fall Payer Issues Roundtable" event.

From regional plans to large, for-profit health insurers, 2026 has marked a year of executive transition. Here are 18 C-suite executives who recently shared plans to leave their organization: 1. Mike ...