Elevance outperforms in third quarter but warns of Medicaid challenges

The Indianapolis-based company is the first major insurer to release earnings this cycle. Elevance did well in the quarter, but hinted that profits could be constrained in 2026.

Optum launches AI system to speed medical claims

Optum Real allows providers to receive information about patients’ health benefits in real time, the company said.

Exploring AI use in the healthcare industry

Medical billing firm Cedar launches Medicaid enrollment tool as cuts loom

The tool, which aims to help patients enroll in and maintain coverage, comes as healthcare braces for major cuts to the safety-net insurance program.

Beyond one-size-fits-all: How ICHRA empowers employees and employers

ICHRA plans, a nascent form of health coverage, are gaining traction, argues an executive of Centene subsidiary Ambetter Health.

Oz reiterates need to improve Medicare Advantage payment accuracy

The CMS administrator’s comments at an industry event in D.C. reflect the difficult tightrope regulators in the Trump administration walk as they pursue MA reform.

‘Medicaid Cut Me Off’: A Rural Health Center Faces New Pressures

Medicare Advantage plans embrace riskier patients

Novo Nordisk fights to keep Medicaid paying for weight-loss drugs