California regulators mandate closure of Meritage Health Plan due to solvency failures, prompting reassignment of 11,000 Medicare Advantage members by Oct. 31, 2025. Insurers must ensure continuity of care amid contract terminations.

Neil Hopper, a UK vascular surgeon, committed insurance fraud by self-amputating his legs, highlighting challenges in medical ethics and insurance fraud detection.

Seven major U.S. healthcare corporations avoided $34 billion in taxes after the 2017 tax law while increasing profits and insurance claim denials, with implications for patient care quality and regulatory scrutiny.

CBO analysis reveals 2.3M fraudulent enrollees in ACA, prompting legislative reforms to curb subsidy abuse and enhance federal health program integrity.

Florida Blue and Memorial Healthcare's contract dispute renders 31,000 members out of network in Broward County, impacting access across commercial, ACA, and Medicare Advantage plans amid reimbursement rate disagreements.

Catalyst Solutions completed a rapid 60-day implementation of Professional Health Partners services across Arizona, Oregon, Nevada, and California, enhancing Medicare population health management with scalable, hybrid onshore/offshore support.

MorningStar Laboratories launches SmartVascular Dx test in Western US with expanded payer coverage including BCBS Arizona and Medicare, enhancing vascular disease detection and reimbursement access.

A coalition of nurses' associations urges HHS to maintain the independent operation of the USPSTF, emphasizing its role in shaping preventive health care policies under the ACA and safeguarding evidence-based recommendations.

Study reveals limited insurance coverage for multiple sclerosis drugs increases relapse risk, highlighting Medicare plan disparities and formulary restrictions.

Centene Corporation posts Q2 2025 earnings showing revenue growth but adjusted losses; strategic repricing planned for 2026 amid regulatory and market challenges in healthcare insurance.