Today's Top 20 Stories
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BCBS Minnesota shuffles executive lineup
Blue Cross Blue Shield of Minnesota has named a new COO and expanded the roles of two executives. -
The prior authorization reform push continues
Prior authorization reforms remain a major advocacy priority for provider trade groups in 2025, and several state lawmakers have also introduced legislation to bring changes to the process. -
Judge upholds court win for BCBS Tennessee employee terminated for refusing COVID vaccine
A federal court in Tennessee has upheld a jury's decision in favor of a former BlueCross BlueShield of Tennessee employee who filed a religious discrimination lawsuit after she was terminated for refusing to comply with the company's COVID-19 vaccination mandate.
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Oscar taps Kaiser leader as insurance president, posts first annual profit
Oscar Health has appointed Janet Liang to oversee its growing insurance business. -
The redeterminations 'era' is over: 5 notes on Centene's strategy
The largest Medicaid managed care provider in the U.S. is declaring the redeterminations era over. -
Cigna settles lawsuit over COVID-19 testing for $2.9M
Cigna has agreed to pay $2.9 million to settle a class-action lawsuit alleging it failed to reimburse members for COVID-19 testing. -
Centene posts $3.3B profit in 2024
Centene lost nearly 1.5 million Medicaid members in 2024, but posted 12% enrollment growth in its marketplace segment, according to the company's fourth quarter earnings report published Feb. 4
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Molina closes $350M ConnectiCare acquisition
Molina Healthcare has closed the acquisition of ConnectiCare, a subsidiary of New York City-based EmblemHealth. -
Moody's: Negative outlook for payers in 2025 amid rising costs
Moody's has revised its outlook for the health insurance sector to negative, citing continually high medical costs that are expected to constrain earnings growth in 2025. -
Cigna links executive pay to customer satisfaction: 5 notes
The Cigna Group will tie executive pay to customer satisfaction as part of an initiative to improve members' experiences. -
Behind Intermountain Health's in-house PBM
Salt Lake City-based Intermountain Health, through its insurance arm Select Health, rebranded its pharmacy benefit manager to Scripius, a move that highlights the growing trend of health systems bringing PBMs in-house.
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Executive moves, acquisitions and more: 13 BCBS updates
In January, some Blue Cross Blue Shield companies planned layoffs and buyouts to combat rising costs. -
Payer CEOs increased home security following UnitedHealthcare shooting: Report
Insurance CEOs hired police in multiple states to provide security and conduct checks at their homes following the fatal shooting of UnitedHealthcare CEO Brian Thompson in late 2024, the Washington Post reported Jan. 29 -
Cigna board authorizes 8% increase in quarterly dividend
Cigna's board of directors declared a $1.51 per share cash dividend to be paid March 20. -
UnitedHealthcare, OHSU at odds over new contract
Portland-based Oregon Health & Science University will go out of network with UnitedHealthcare if the two sides are unable to reach a new contract agreement by March 31, Willamette Week reported Jan. 30. -
Judge partially dismisses lawsuit accusing J&J of mismanaging employee drug benefits
A federal judge has partially dismissed a lawsuit filed by a former Johnson & Johnson employee alleging that the pharmaceutical giant mismanaged its employees’ prescription drug benefits, thereby violating its fiduciary duties under the Employee Retirement Income Security Act. -
Cigna's Medicare Advantage sale on track to close in Q1
The sale of Cigna's Medicare Advantage business to Health Care Service Corp. has been approved by all federal regulators, according to The Cigna Group CFO Brian Evanko. -
Independence Health Group CEO to retire
Independence Health Group CEO Gregory Deavens plans to retire at the end of 2025. -
Aetna, Centene, Blue Shield launch 'single payment' primary care model in California
Aetna, Blue Shield of California and Centene's Health Net have launched a shared, value-based payment model for reimbursing primary care physicians in California. -
Medicare Advantage insurers ranked by prior authorization denial rates | 2023
Centene and CVS Health had the highest rates of prior authorization denials in 2023, according to a report from KFF.
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