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CVS, FTC reach proposed settlement in insulin pricing case
A settlement between CVS' pharmacy benefit manager and antitrust regulators would leave UnitedHealth as the sole holdout in high-profile suit.
By Rebecca Pifer Parduhn • March 24, 2026 -
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CommonSpirit, Humana reach new nationwide Medicare Advantage contract
The new agreement will give Humana’s MA members access to CommonSpirit’s doctors and facilities for the next three years, and returns CommonSpirit to Humana’s networks in Colorado and Texas.
By Rebecca Pifer Parduhn • March 24, 2026 -
Explore the Trendline➔
Yujin Kim/Healthcare Dive
TrendlinePayer/provider relationships
As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.
By Healthcare Dive staff -
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CMS sets standards for electronic transfer of claims documentation
The rule standardizes the electronic exchange of medical records and other documents requested by payers to support claims. It should cut out outdated methods like faxes and snail mail, the CMS said.
By Emily Olsen • March 23, 2026 -
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1 in 10 ACA enrollees dropped coverage after subsidy lapse: poll
More than half of respondents said their healthcare expenses are “a lot higher” this year, according to the KFF survey. One in 10 reported dropping coverage and becoming uninsured.
By Emily Olsen • March 23, 2026 -
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Sponsored by PointClickCareThe post-acute blind spot: Why what happens after discharge matters more than ever
Post-acute care is healthcare’s biggest blind spot — and a major opportunity.
March 23, 2026 -
Providence considering sale of health plan
The Catholic nonprofit continues to search for new ways to cut costs, including a potential sale of Providence Health Plan, the company disclosed Thursday.
By Rebecca Pifer Parduhn • March 20, 2026 -
Permission granted by Alignment
Q&AAlignment Healthcare’s idiosyncratic take on Medicare Advantage
Other MA plans are downsizing, upset about coding changes and lobbying for higher rates. Alignment is growing and unbothered by the policy and payment fuss. CEO John Kao lays out how his company is breaking away from the pack.
By Rebecca Pifer Parduhn • March 18, 2026 -
Emily Olsen/Healthcare Dive
Deep Dive // HIMSS26Balancing AI innovation and risk: 5 takeaways from HIMSS26
The healthcare sector will increasingly adopt autonomous agents this year, but it’ll have to consider how to adapt governance structures and manage cybersecurity risks as AI evolves, experts said in Las Vegas last week.
By Emily Olsen , Jill Hughes • March 16, 2026 -
Anna Moneymaker / Staff via Getty Images
HIMSS26CMS wants seniors to use AI for care navigation
The agency plans to introduce AI agents to help Medicare beneficiaries find doctors and health plans, a challenge given many enrollees don’t yet trust the tools, CMS Administrator Dr. Mehmet Oz said during the HIMSS conference.
By Emily Olsen • March 13, 2026 -
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HIMSS26Safety-net providers tackle AI adoption as Medicaid cuts loom
Artificial intelligence tools could help safety-net organizations close gaps created by massive cuts to Medicaid signed into law last year, experts said at the HIMSS conference.
By Emily Olsen • March 12, 2026 -
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CVS to pay $118M to settle Medicare Advantage fraud allegations
The settlement announced by the Department of Justice on Wednesday comes after federal regulators accused Aetna of submitting inaccurate data to the CMS.
By Rebecca Pifer Parduhn • March 11, 2026 -
Spencer Platt via Getty Images
Overpayments to Medicare Advantage plans are costing seniors billions, Joint Economic Committee finds
Congressional investigators found Medicare Part B premiums rose by more than $200 per member, totaling $13.4 billion in additional spending, due to the alleged overpayments. Payers slammed the report as flawed.
By Rebecca Pifer Parduhn • March 11, 2026 -
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Optum Rx, Caremark making ‘significant progress’ in settlement talks with FTC
It’s looking increasingly likely that the UnitedHealth and CVS drug middlemen will also make peace with federal regulators, after Cigna agreed to a sweeping settlement in the insulin lawsuit last month.
By Rebecca Pifer Parduhn • March 5, 2026 -
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Mount Sinai, Anthem fail to reach new contract
The New York hospital giant is now out of network with plans offered by the Elevance subsidiary after the two failed to agree on terms.
By Rebecca Pifer Parduhn • March 4, 2026 -
Spencer Platt via Getty Images
CMS receives record comments on controversial Medicare Advantage payment proposal
The Trump administration wants to keep MA rates flat next year and change how risk adjustment is calculated. Insurers had a lot to say about this, CMS officials shared Tuesday during an event in D.C.
By Rebecca Pifer Parduhn • March 4, 2026 -
Kayla Bartkowski via Getty Images
CMS innovation center remains focused on mandatory models, officials say
CMMI Director Abe Sutton and CMS Administrator Dr. Mehmet Oz outlined how the administration aims to get more providers, especially poor-performing ones, into value-based models at a D.C. event on Tuesday.
By Rebecca Pifer Parduhn • March 4, 2026 -
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State Medicaid budgets face $664B cut due to ‘Big Beautiful Bill’: study
Twenty states are projected to experience Medicaid budget reductions of 5% or more from the law’s cuts to the safety-net insurance program, according to the Rand analysis.
By Emily Olsen • March 3, 2026 -
Alamy
CMS threatens Elevance with Medicare Advantage sanctions
Federal regulators are planning to suspend enrollment in Elevance's MA plans at the end of March, in a rare and serious threat to the company’s finances.
By Rebecca Pifer Parduhn • March 3, 2026 -
Julia Rendleman via Getty Images
Brian Evanko to succeed David Cordani as CEO of Cigna
Evanko, currently the insurer’s COO, will assume the chief executive role after Cordani retires in July.
By Sydney Halleman • March 3, 2026 -
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AMA creates new maternity care coding system
The doctors’ association is blowing up the U.S.’ decades-old coding system for recording pregnancy services and starting fresh next year, bowing to calls from OB-GYNs and other maternity specialists.
By Rebecca Pifer Parduhn • March 2, 2026 -
Courtesy of UnitedHealth Group
Former Optum chief departs UnitedHealth
Heather Cianfrocco, an executive vice president at UnitedHealth and former CEO of its health services division Optum, announced she was leaving the company after a 24-year tenure.
By Sydney Halleman • March 2, 2026 -
Permission granted by CVS Caremark
Sponsored by CVS CaremarkGLP-1s are changing benefits decisions. Here’s how health care decision-makers can stay in control.
GLP-1s: What we know, what’s uncertain and what’s coming next.
By Josh Fredell, Senior Vice President and Head of PBM & Specialty Product Innovation, CVS Caremark • March 2, 2026 -
Permission granted by Elevance Health
Elevance shuffles C-suite as top Carelon exec departs
The leadership changes at Elevance’s main growth engine Carelon — and the company’s decision to centralize oversight of its health plans — come as Elevance looks to bolster waning profits.
By Rebecca Pifer Parduhn • Feb. 27, 2026 -
Rebecca Pifer/Healthcare Dive
How PBM reforms could push drugmakers into the pricing spotlight
The Consolidated Appropriations Act’s landmark PBM overhaul removes financial incentives tied to pharma list prices, potentially leaving drugmakers to defend their own practices.
By Alivia Kaylor • Feb. 27, 2026 -
Alex Wong/Getty Images via Getty Images
Trump administration halts over $259M in Medicaid funds to Minnesota
The funds would be a fraction of the $11.8 billion in Medicaid funding the state receives from the federal government. The Trump administration said the action was part of a broader crackdown on fraud in federal healthcare programs.
By Sydney Halleman • Feb. 26, 2026
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