INSURASALES

Tag: Health Insurance

UnitedHealth Group Names Stephen J. Hemsley CEO, Suspends 2025 Outlook Amid Rising Costs

UnitedHealth Group appoints Stephen J. Hemsley as CEO and suspends its 2025 financial outlook due to rising Medicare Advantage medical costs, with growth expected to resume in 2026.

Oscar Health Boosts Earnings with AI-Driven Cost Reductions and Platform Innovation

Oscar Health surpasses earnings estimates by leveraging AI and large language models to reduce costs and improve service in its health insurance platform, signaling scalable innovation for the insurance industry.

Congressional Democrats Urge GOP to Address Medicare Advantage Upcoding Over Medicaid Cuts

Democrats call on GOP leaders to stop Medicaid cuts and focus on Medicare Advantage upcoding to reduce $50 billion in federal overpayments and protect healthcare coverage.

UnitedHealth Lowers Profit Outlook Amid Medicare Advantage Cost and Coding Challenges

UnitedHealth Group cuts profit forecasts due to higher Medicare Advantage care costs and lower coding revenue, highlighting challenges in Medicare Advantage management and insurance financials.

Smaller U.S. Insurers Gain Market Share as Major Players Face Challenges in 2025

In 2025, major U.S. health insurers face financial and operational setbacks while smaller, focused payers achieve significant growth by leveraging market-specific strategies and managing costs effectively, reshaping the Medicare Advantage and ACA markets.

Loophole in ACA Enables Sale of Low-Cost Health Plans with Coverage Concerns

A loophole in the Affordable Care Act has led to the sales of low-cost health insurance plans by a former sitcom writer, raising concerns about coverage adequacy and regulatory compliance in the U.S. health insurance market.

Chubb Life Launches Digital Health Up Insurance Plan with Wellness Benefits

Chubb Life Hong Kong launches Health Up, a digital insurance plan combining term life coverage with wellness benefits including health services and exclusive partner discounts.

Health Insurance Coverage and Restrictions on Prescription Medications in 2025

Health insurance coverage for prescription medications declined with increased restrictions in 2025, impacted by pharmacy benefit manager policies and limited regulations.

Humana's Prior Authorization Process for Medical Services and Medications

Explore Humana's detailed prior authorization requirements for medical services and medications, including timelines, appeal rights, and Medicare member guidance for coverage approvals.

Rising Demand for International Health Insurance Among U.S. Expats

A Harris Poll highlights rising demand for affordable, reliable international health insurance among Americans considering expatriation, emphasizing key market trends and coverage challenges.