Molina Healthcare reports higher medical loss ratios and ACA membership growth amid Medicaid rate adjustments and regulatory challenges in Q1 results. Upcoming 2025 guidance reflects cautious optimism.

CMS's 2026 Final Rule implements the Medicare Drug Price Negotiation Program with the Medicare Transaction Facilitator, affecting Part D drug pricing and pharmacy reimbursement processes.

Explore how a cyberattack on Change Healthcare led to financial turmoil for physician practices, affecting their billing and loan repayment with Optum Financial.

Explore how UnitedHealth Group leads in Medicare Advantage payments through diagnosing more health conditions, raising concerns in the health insurance sector.