The U.S. Centers for Medicare and Medicaid Services alleges the Indianapolis-based health insurer has failed to properly submit required information to federal regulators since 2018.

Medicare's new reimbursement model could cut the company's income by a third this year. Leaders say they'll gain market share ...

GoodRx reports 2026 will see higher health insurance premiums, Medicare changes, and many opting out of coverage due to increased costs.

Independent accreditation strengthens consumer trust in digital health applications and may support participation in CMS' Medicare App Library ...

The CMS proposed a sweeping rule Monday making a number of changes to Affordable Care Act plans, including expanding the availability of catastrophic coverage. The proposal would allow more enrollees ...

Emanuel is vice provost for global initiatives and co-director of the Healthcare Transformation Institute at the Perelman School of Medicine and the Wharton School at the University of Pennsylvania.

The federal government plans to sanction Elevance — including by preventing its Medicare Advantage plans from enrolling any new members — for failing to comply with federal data submission ...

The Trump administration is aiming to roll back limits on the plan designs insurers can offer on the Affordable Care Act's (ACA's) exchanges. Under the Biden administration, the Centers for Medicare & ...

CMS unveiled a proposed rule Feb. 9 that would reshape the ACA marketplace for plan year 2027, expanding insurer flexibility on plan design, tightening eligibility verification and re-introducing ...

The Centers for Medicare and Medicaid Services has proposed a 0.09% advance rate for Medicare Advantage plans in 2027, a figure analysts say falls well short ...

The Department of Health and Human Services has announced the repeal of standardized plan options in Affordable Care Act coverage. The Centers for Medicare & Medicaid Services proposes to discontinue ...

Toni King is an author and columnist on Medicare, Social Security and long-term care issues. She has spent nearly 30 years as a top sales leader in the field. If you have a Medicare question, email ...