Today's Top 20 Stories
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UnitedHealthcare, U of Florida Health split
As of Sept. 1, University of Florida Health's hospitals and physician groups in Gainesville, Jacksonville, and St. Johns are no longer in network with UnitedHealthcare. -
Aetna, Providence reach in-network agreement
Renton, Wash.-based Providence has reached a contract agreement with Aetna to keep commercial members in Washington state in network, the two organizations confirmed with Becker's. -
Indiana launches all payer claims database
Indiana has launched its all payer claims database, a website that collects healthcare claims information from companies across the state, including insurers.
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UnitedHealthcare's national gold-card program: 5 things to know
UnitedHealthcare has released more details about its national gold-card program that is set to take effect on Oct. 1. -
Highmark insurance revenues up 9%: 5 notes
Highmark Health's insurance segment revenue increased 9% year-over-year, according to the company's mid-year financial report published Aug. 29. -
Medicare Advantage in the headlines: 6 recent updates
Newly released court documents show CMS dropped a proposal to require Medicare Advantage plans to return overpayments a decade ago, and J.D. Power published its annual ranking of the top MA plans. -
Blue Shield of California fined over contraceptive copays
Blue Shield of California will pay $285,000 to California for charging members copays for contraceptive services.
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Mississippi awards Medicaid contracts
Mississippi awarded Medicaid contracts to Centene, Molina Healthcare and new nonprofit TrueCare, Mississippi Today reported Aug. 28. -
Michigan payer offering free telehealth to the uninsured
Priority Health is offering free visits with a virtual provider to uninsured Michigan adults through a partnership with telehealth company Curai Health. -
Best health insurance brands in 2024
Six health insurance brands are among Newsweek's top 604 corporate brands in America. -
UnitedHealth: 5 concerning, 4 positive trends in maternal health
While some measures of maternal health are improving, deep disparities remain in health outcomes and drivers, according to the UnitedHealth Foundation's America's Health Rankings Maternal and Infant Health Disparities Data Brief.
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10 payer M&A updates
UnitedHealth Group is reportedly considering picking up the third-largest ambulatory surgical center operator in the U.S., and is awaiting approval of its proposed acquisition of home health provider Amedisys. -
Cigna names chief legal officer
Cigna has named Andrea Nelson as chief legal officer, Bloomberg Law reported Aug. 27. -
The 8 most dangerous trends facing payers
Cybersecurity threats and rising costs are some of the greatest challenges facing payers and accountable care organizations, according to executives. -
Cigna to remove Humira from most formularies
Cigna will remove Humira from its largest commercial formularies in 2025. -
Centene to end Part D broker payments
Centene will no longer pay commission to insurance brokers enrolling or renewing members in its Medicare Part D plans. -
CMS awards $100M to ACA navigators
CMS has awarded $100 million to organizations that help individuals enroll in ACA marketplace coverage. -
CMS scrapped Medicare Advantage rule over industry opposition: Report
CMS dropped a proposed regulation that would have required Medicare Advantage plans to return overpayments found during chart reviews over industry opposition, KFF reported Aug. 27. -
Elevance drops interest in Evolent Health acquisition
Editor's note: This article was updated Aug. 26 to reflect Reuters' reporting that Elevance Health no longer plans to bid to acquire Evolent Health. Elevance Health is no longer among the potential purchasers of Evolent Health, Reuters exclusively reported Aug. 26. -
Counties ranked by narrowest ACA networks
ACA enrollees in Cook County, Illinois have access to 14% of local physicians, according to an Aug. 26 analysis from KFF.
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