The Cigna Group’s Evernorth recently shared plans for a rebate-free pharmacy benefit model. The move could simplify drug pricing, but leaders on Cigna’s Oct. 30 earnings call warned of some potential ...

UnitedHealth Group posted a $2.3 billion profit for its third quarter of 2025, down from a $6.1 billion profit for the same time last year. The company released its third-quarter earnings Oct. 28 and ...

CVS Health boosted its guidance despite a $4 billion loss. The company documented $103 billion in revenue for third-quarter 2025, according to an Oct. 29 financial report. Revenue was up 7.8% year ...

The ACA marketplace’s open enrollment period kicks off on Nov. 1, but HealthCare.gov and states have price previews already available. The shopping window will remain open until Jan. 15, 2026, but ...

UnitedHealth Group is projecting its Medicare Advantage enrollment will decrease by 1 million people in 2026. That estimate is up from a 600,000-member decrease it projected in July. UnitedHealthcare ...

PacificSource will cut about 300 roles across Oregon, Idaho, Montana and Washington, according to a spokesperson and notices filed with the government. The payer cited a “significant” drop in Medicaid ...

Optum Health, UnitedHealth’s care services division, “strayed from the initial intent,” said Optum CEO Patrick Conway while discussing the unit’s performance during UnitedHealth Group’s Oct. 28 ...

Elevance Health is deepening its use of artificial intelligence enterprise-wide, focusing on enhancements to its member services, clinical workflows and provider operations as part of long-term ...

Minnesota Gov. Tim Walz has paused payments for 14 high-risk Medicaid services for up to 90 days while a third-party audit is conducted. The state’s Department of Human Services has contracted with ...

Centene’s prescription drug plan enrollment is driving Medicare performance, contributing about half of the segment’s revenue, according to an Oct. 29 earnings call. Centene’s premium and service ...