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Anthem and New York City-based Mount Sinai are completely out of network as of March 4, following a brief contract…
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Medicare Advantage enrollment grew less than 1% during this past annual enrollment period, but beneath that modest topline number was a dramatic reshuffling as national payers shed hundreds of thousands of members while smaller and regional plans posted some of…
On Feb. 25, Centene offered CMS seven Medicaid reforms that would allow managed care organizations to take the reins in targeting fraud, waste and abuse in Medicaid. The letter called on CMS to: 1. Permit proactive payment suspensions without a…
Sen. Bernie Sanders, I-Vt., and Rep. Ro Khanna, D-Calif., introduced legislation March 2 that would reverse the Medicaid and ACA changes enacted under the One Big Beautiful Bill Act and expand Medicare to cover dental, vision and hearing services for…
From the departure of a longtime executive, to limiting employee raises, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Feb. 10. 1. UnitedHealth Group named Dennis Stankiewicz as chief accounting officer. Tom Roos,…
The insurer-backed Better Medicare Alliance, a Medicare Advantage advocacy group, and over 100 other organizations sent a letter Feb. 27 to CMS Administrator Mehmet Oz, MD, urging the agency to modify proposed 2027 rate levels for Medicare Advantage. The signatories…
CarepathRx has joined Evernorth Health Services, a division of the Cigna Group. According to a statement to Becker’s from Evernorth, the acquisition was completed in 2025 as part of the company’s strategy to expand support for patients with specialty conditions…
Elevance Health has named Rachel Chinetti as president of Wellpoint Tennessee, which provides managed care benefits to about 1.4 million Medicaid beneficiaries. Ms. Chinetti will oversee strategy and day-to-day business operations, with priorities including rural health, maternal health, and long-term…
CMS is sanctioning Elevance Health and plans to suspend enrollment into the insurer’s Medicare Advantage prescription drug plans, according to a Feb. 27 agency letter. The enrollment and communications pause is set to begin March 31 unless Elevance submits all…
UnitedHealth Group has named Dennis Stankiewicz as chief accounting officer, effective March 2. Tom Roos, who has served as CAO since 2015, has been named CFO at Optum Insight, the company said in regulatory filings. Mr. Stankiewicz will continue to…
Blue Cross and Blue Shield of Massachusetts reported a net loss of $222.8 million and a -2.2% profit margin in 2025, citing unprecedented medical and pharmacy spending. The company’s annual revenue was $10.3 billion. It posted an operating loss of…
