Today's Top 20 Stories
  1. SCAN Health Plan seeks Texas, Nevada expansions

    Nonprofit Medicare Advantage insurer Senior Care Action Network Health Plan is planning to expand into two Texas counties next year, pending regulatory approval from CMS. 
  2. Magellan Health taps Centene VP as CIO

    Magellan Health has appointed a former Centene vice president Tom Britt to serve as its new CIO. 
  3. The state of payers' behavioral health provider networks in 2022: AHIP

    Payers nationwide are rapidly growing their behavioral health provider networks by actively recruiting, increasing payments and training primary care physicians to care for more behavioral health conditions, according to a new survey from AHIP.

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  1. Humana's chief medical officer departs

    Humana's chief medical officer, William Shrank, said in a LinkedIn post he is leaving the company on Aug. 5 after three and a half years.
  2. MaineHealth swaps Anthem for Aetna to administer employee health plan

    MaineHealth will switch from Anthem Blue Cross and Blue Shield in Maine to Aetna for its employee health plan carrier starting in 2023, according to WMTW.
  3. Former UnitedHealth CEO: Change data 'could' help insurance division

    Former UnitedHealth Group CEO David Wichmann defended Optum's proposed acquisition of Change Healthcare for $13.8 billion on the fourth day of a trial brought forth by a Justice Department challenge of the deal and said misuse of data could happen, though it's unlikely, Law360 reported Aug. 4.
  4. Big payers ranked by Q2 revenue

    The nation's largest payers have filed their second-quarter earnings reports, revealing which grew their revenues the most year over year.

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  1. Illinois increasing Medicaid reimbursement rates for abortion providers

    Illinois is increasing Medicaid reimbursement rates for abortion providers by 20 percent, CBS Chicago reported Aug. 4. 
  2. Aetna entering California's individual ACA marketplace

    Aetna is entering the ACA individual insurance marketplace in seven California counties for 2023.  
  3. 3.7 million would gain health coverage if all states expanded Medicaid: report

    An estimated 3.7 million people would gain health coverage if the 12 states that have not expanded Medicaid eligibility did so in 2023, according to an Aug. 3 report from the Urban Institute and the Robert Wood Johnson Foundation. 
  4. How 3 payers are using digital health platforms to improve members' outcomes

    As payers increasingly look to meet their members where they are, digital solutions, platforms and benefits have become a widespread expectation from consumers and employers.

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  1. Nationwide launching supplemental health plan 

    Insurance giant Nationwide is partnering with supplemental insurance providers Brella and AccuRisk Solutions to offer its own supplemental health plan.
  2. Centivo taps top UnitedHealth attorney as general counsel

    Centivo, a self-funded health plan provider centered around value-based care, has named Tara Johnson as its first general counsel. 
  3. Ochsner Health Plan names CEO

    New Orleans-based Ochsner Health has named Senior Vice President and Executive Adviser Jeffrey Fernandez as CEO of Ochsner Health Plan, effective Aug. 1.
  4. Cigna's $1.6B net income in Q2: 6 notes

    Cigna beat Wall Street expectations and pulled in $1.6 billion for shareholders in the second quarter, according to the company's earnings report published Aug. 4.
  5. Why BCBS Mississippi is suing 3 hospital execs for defamation

    One of the most turbulent payer-provider contract disputes of 2022 has recently culminated around a defamation lawsuit aimed at three health system executives and has grown to include subpoenas for communications with local news outlets. But how did it get here?
  6. Cigna, Ascension Health Alabama agree on new contract

    Cigna and Mobile-based Ascension Health Alabama have agreed to renew their commercial contract, the Birmingham Business Journal reported Aug. 2. 
  7. CareFirst BCBS, Headway partnership to boost mental healthcare access

    CareFirst BlueCross BlueShield is collaborating with the mental health startup Headway to increase access to behavioral health services for the 3.5 million people it serves in Maryland, Northern Virginia and Washington, D.C.
  8. Humana donates $500K for flood relief, waives some member restrictions

    Louisville, Ky.-based Humana is donating $500,000 toward relief and recovery efforts for people affected by torrential rains and flooding in its home state as well as Tennessee, Virginia and West Virginia. 
  9. Dozens of payers affected by vendor ransomware attack

    Dozens of payers and some providers have been affected by a data breach involving printing and mailing services vendor OneTouchPoint.

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