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Medicare Advantage insurer and healthcare technology company Clover Health appointed its interim CFO, Clay Thornton, to serve in a permanent…
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South Dakota voters rejected a ballot question Nov. 3 that could have triggered repeal of the state’s Medicaid expansion mandate if the federal government’s 90% funding share declined, South Dakota Searchlight reported Nov. 4. The Associated Press called the race…
CVS Health intends to split into two distinct companies, the healthcare giant confirmed in a Nov. 4 news release. One company, which will be called CVS Health in the interim, will include health insurer Aetna, pharmacy benefit manager CVS Caremark,…
Your revenue cycle team and your accounting team look at the same payments every day — and often reach two different answers. One reconciles against claims and remittances. The other reconciles against the general ledger and the bank. Both are…
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UnitedHealth Group’s board of directors approved a per-share cash dividend of $2.32 to be paid Dec. 15. The dividend will be paid to all shareholders of record as of the close of business on Dec. 7, according to a Nov.…
Vermont has the highest average monthly benchmark premium on the ACA marketplace for 2027 at $1,313, while New Hampshire has the lowest at $486, according to KFF. Nationwide, the average benchmark premium is $704 a month for 2027, up from…
Suha Assi has been named CEO of UnitedHealthcare’s individual Medicare Advantage business. She succeeds Dennis O’Brien, who was named president of UnitedHealthcare Networks in September. “For much of the last 20 years, my work has been rooted in the Southeast,…
Health plans are measured on member experience, security, quality and efficiency. Yet one capability quietly underpins all four: Knowing, with confidence, exactly who each member is. As member data spreads across digital and assisted channels, that confidence erodes. Duplicate records,…
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Humana and healthcare technology company Athenahealth are expanding electronic prior authorization capabilities, spanning more than 180,000 clinicians in Athenahealth’s network. According to a Nov. 3 news release, more than 6,000 providers processed almost 35,000 electronic prior authorization transactions with Humana…
From announcing a gold card program to filing a lawsuit over its 2027 Medicare Advantage star ratings, here are 10 updates on Centene that Becker’s has reported since Sept. 23: 1. Centene CEO Sarah London said on the company’s third-quarter…
HR 1’s Medicaid work requirements are set to begin Jan. 1. Despite CMS rolling out a framework in June, the work requirements have been met with pushback. The requirements will apply to states that expanded Medicaid or have a similar…
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