The $449 Billion Quarter: America's Biggest Health Insurers May Be Back on Top
The nation's largest health insurers delivered record Q3 results. But the strategies driving profits are raising new questions about affordability, access and the future of American health care.
Remembering Senator John D. "Jay" Rockefeller IV: A Champion for Patients and Truth
Senator Rockefeller showed that public service, at its best, is about standing up for those who cannot match the influence of the industries fighting against them.
Health Insurers Say Arbitration Is Broken. Their Earnings Calls Raise a Different Question.
Insurers blame arbitration for rising costs. The data tell a more complicated story""one involving defaults, unpaid awards, and financial incentives that often escape public attention.
CVS Is Spinning Off Its Drugstores. The Parts Critics Worry About Most Are Staying Together.
CVS beat earnings expectations and raised its outlook but investors still sent the stock lower as the company announced plans to split off its pharmacies while keeping its health care empire intact.
Blue Wave Changed Who Governs. But Not Who Has Influence.
Health insurers lost some of their biggest allies on Capitol Hill. But their real power has always come from what happens after elections: money, lobbying and influence.
The Election Ends Tonight. Their Campaign Starts Tomorrow.
Health care costs dominated the midterms. The industry that profits from those costs has spent decades learning how to make voters' demands disappear once the ballots are counted.
Days Before Midterms, Trump Admin Buried Obamacare Rate Hikes in a Data File. KFF Did the Math.
The Trump administration slipped out a 13% Obamacare premium increase days before open enrollment and the midterms. The explanations leave out who profits most from higher prices.
Employers Can Finally See What PBMs Are Paid. Will They Look?
The vast pharmacy benefit business, which is a big part of the Big Insurance middleman empire, just lost a Washington fight, and that's good news for millions of Americans and their employers.
Nearly 700 Rural Hospitals Are at Risk of Closing. Big Insurers Are Making It Worse.
A new report reveals how private insurers are shortchanging rural hospitals, even as UnitedHealth Group earned enough in just three months to keep every at-risk hospital open for a year.
New Report: Big Insurance, Big Tech, and the Hidden Use of AI in Health Insurance
A new Center for Health & Democracy white paper reveals Palantir's ties to major insurers, its role in Medicare's WISeR model, and AI's growing influence over patient care.
ProPublica Wants to Hear About Your Prior Authorization Denial
Insurers promised to cut back on prior authorization. Now, ProPublica wants to know whether patients are still being denied or delayed care - and they need your help.
Trump Wants More Whistleblowers. Let's Start With Health Insurance Companies.
I spent nearly two decades inside the health insurance industry. If President Trump is serious about exposing fraud and protecting taxpayers, I know a few places he should start looking.
Patient Dies by Suicide After 'Insurance Issue' Delayed Medicine for Lung Disease Flare-Ups
A Texas man died before receiving a prescribed medication, leaving his wife searching for answers amid a confusing web of insurance rules, pharmacy delays and prior authorization requirements.