EmblemHealth will pay $2.5 million after an investigation by the New York attorney general’s office found the insurer violated parity laws and failed to ensure access to mental healthcare services ...

Recently, payers and providers have been engaging in a slew of transparency campaigns, with some aiming to “expose” pricing and denial concerns. For example, Hospital Watch has come to the forefront, ...

One in 10 Medicare Advantage enrollees were forced to disenroll from their health plan heading into 2026 due to insurer exits from the market, a tenfold increase from historical averages, according to ...

A former senior director of data analytics at Optum was found guilty of defrauding the company out of more than $1.2 million through a scheme involving a fraudulent hire and salary kickbacks.

Nevada identified insurer violations of mental health laws based on nonquantitative treatment limitations, according to a Dec. 31 report from the state’s insurance division. To better understand ...

Paul Markovich, president and CEO of Ascendiun, the parent company of Blue Shield of California, is not one to sugarcoat the state of the healthcare system. “I don’t see how you can look at it and say ...

The Alabama Senate unanimously passed a bill Feb. 17 that would allow the state’s dominant health insurer, Blue Cross Blue Shield of Alabama, to reorganize under a nonprofit holding company, a ...

Imagine360’s new chief product officer, Nilima Rajkumar, has concerns with pricing transparency in healthcare, specifically how traditional insurers may go off of hospitals’ chargemasters. “[Insurers] ...

Almost 35.5 million people were enrolled in a Medicare Advantage plan as of Feb. 1, up about 3% from 34.4 million at the same time last year, according to CMS data analyzed by Becker’s. Growth during ...

Overall, 83% of mental health treatment facilities accept private insurance in the United States. Wyoming has the greatest percentage of centers that take commercial insurance, whereas California and ...

Overall, 85% of mental health treatment facilities accept Medicaid in the United States. Wyoming and the District of Columbia have the greatest percentage of centers that take Medicaid, whereas ...