The Georgia Senate has passed a bill that would ban AI tools from being used independently to make coverage decisions. The bill, which passed the chamber unanimously in February, would require a ...

New Jersey Gov. Mikie Sherrill proposed that employers with at least 50 workers on Medicaid should either cover the workers’ healthcare or pay a fine, she said in her 2027 budget address March 10. Ms.

Medicare Payment Advisory Commission insights, Congressional reports and enrollment data have all been released in the early months of 2026. Some methodology has been questioned by insurers and CMS, ...

Montana is slated to roll out Medicaid work requirements July 1, according to a Department of Public Health and Human Services presentation on March 9. Under HR 1 ...

The North Carolina State Health Plan will not extend its contract with Aetna into 2028, and instead is seeking bids for its coverage of state workers and retirees, the state treasurer’s office ...

The Medicare Payment Advisory Commission estimated Medicare Advantage payments will be 14% greater than fee-for-service Medicare in 2026, according to a March 12 report from the congressional agency.

Centene expects its ACA membership to fall nearly 40% by the end of 2026, company executives said March 11 at the Barclays 28th Annual Global Healthcare Conference. CEO Sarah London said the company ...

The possibility of a state-based health insurance exchange in Mississippi is looking less probable, state Insurance Commissioner Mike Chaney told Mississippi Today in a March 10 report. “It might be ...

Gov. Tim Walz unveiled a proposal March 10 to eliminate managed care organizations from the state’s Medicaid program and replace them with a single statewide organization. Currently, about 45% of the ...

Medicare premiums may go up as rival insurers acquire pharmacy benefit managers, according to a January study published in the American Economic Journal: Applied Economics. “The PBM has an incentive ...

On March 8, a judge for the U.S. District Court in Connecticut approved a preliminary injunction against Aetna, ordering the insurer to alter its gender-affirming care policy for two plaintiffs.

Humana’s President and CEO Jim Rechtin was paid $18.8 million in total compensation in 2025, the insurer said in regulatory filings published March 6. CFO Celeste Mellet was the company’s highest-paid ...