New & Notable
High costs, more uninsured without enhanced premium tax credits
A new KFF survey reveals significantly higher costs following the expiration of enhanced subsidies for Marketplace plans, with more enrollees dropping coverage this year.
UnitedHealthcare expands doula benefit to support maternal health
UnitedHealthcare will expand its doula benefit to certain employer-sponsored health plans as part of the payer's strategy to improve maternal health outcomes.
Aetna to pay $117.7M to settle Medicare Advantage false claims case
The Department of Justice said Aetna submitted inaccurate diagnosis codes to untruthfully inflate its risk pool.
Clover Health becomes first payer to go live on CMS aligned network
Clover Health has become the first payer to meet CMS's interoperability standard and has begun responding to patient requests for clinical and claims data using FHIR formats.
Brian Evanko to succeed David Cordani as CEO of Cigna
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Optum Specialty Fusion
At Optum, we’re evolving health care so everyone can have the opportunity to live their healthiest life. It’s why we put your unique needs at the heart of everything we do, making it easy and affordable to manage health and well-being. Together, for better health.
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CareCredit
We do something very simple at CareCredit: We help people get the care they want for themselves and their families.
Healthcare Strategies: A Podcast
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A podcast for healthcare professionals seeking solutions to today's and tomorrow's top challenges. Hosted by the editors of Xtelligent Healthcare Media, this podcast series focuses on real-world use cases that are leading to tangible improvements in care quality, outcomes, and cost.
Guests from leading provider, payer, government, and other organizations share their approaches to transforming healthcare in a meaningful and lasting way.
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Latest News
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Humana's CenterWell acquires MaxHealth primary care clinics
CenterWell's acquisition of MaxHealth's primary care clinics is another step in a growing trend of health insurance vertical integration.
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Employee health plan costs eat up 10% of wages
The U.S. is teetering on a healthcare affordability crisis, as employee health plan premiums and deductibles represent 10% of wages and salaries stagnate.
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Aetna launches digital onboarding to boost member experience
Aetna's investment in digital onboarding is indicative of a growing payer trend toward enhanced digital member experiences.
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CMS to crack down on ACA plan marketing, tighten income verifications
The proposed notice of benefit and payment parameters for 2027 would tighten marketing for ACA plans and income verification rules for consumers seeking assistance with marketplace coverage.
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Nearly 45% of healthcare payments tied to APMs: Survey
The latest healthcare payments data shows stable participation in alternative payment models, although there was little growth in risk-based payments.
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Humana taps Google Cloud's agentic AI for member experience
Humana's Agent Assist uses agentic AI technology from Google Cloud to help member experience advocates manage high call volumes.
Features
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5 healthcare pros on the trends defining primary care
The 2025 Payer + Provider Virtual Summit explored AI, value-based care and community-based partnerships, offering strategies on how to promote primary and preventive care.
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How payers can regain consumer trust via personalized care
Creating personalized health plans is central to regaining consumer trust. To do that, payers must outline safeguards for member data and create seamless experiences.
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With trust low and costs high, do payers stand to lose members?
Healthcare payers might see fewer enrollments as members face higher prices for a product they don't trust or see as high value.
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Breaking down the ABCs of rising alternative health plans
More employers are seeking alternative health plans, like AHPs and ICHRAs, to bend the cost curve, but education is key to navigating their growing popularity.