The Texas DOGE committee has demanded an audit and sanctions against Superior HealthPlan for alleged spying, highlighting broader concerns over ethics and compliance in Medicaid contracting.

A New Jersey bill aims to expedite access to essential medications for serious mental illnesses by requiring insurers to remove prior authorization and step therapy.

Colorado officials warn that proposed Medicaid cuts could lead to massive healthcare disruptions, affecting thousands of lives and the state’s economy.

UnitedHealth Group emerges as a tariff safe haven amid disruptive trade policies, showcasing resilience in the U.S. insurance market with notable stock performance.

Governors from five U.S. states have challenged a new CMS rule that could alter health insurance marketplace regulations, emphasizing potential risks to coverage and state authority.

The Missouri Farm Bureau advocates for a bill allowing unregulated health plans, sparking debate over cost versus quality in health coverage. Critics worry about lack of ACA protections.

Explore the complexities of Colorado's Medicaid funding structure and its implications for state health coverage, including FMAP discrepancies among populations.

Learn how retiree-only health plans in the U.S. navigate compliance, avoid certain mandates, and maintain separate documentation from active employee plans.

Explore how AI is transforming the fight against denied health insurance claims, enhancing operational efficiency and patient advocacy through innovative technology.

Minnesota faces public health funding challenges, prompting a reevaluation of layoffs that initially targeted crucial roles for disease surveillance.