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Aledade and Humana are expanding their ongoing partnership to provide care under a value-based arrangement to Medicare Advantage members at…
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Aledade and Humana are expanding their ongoing partnership to provide care under a value-based arrangement to Medicare Advantage members at Federally Qualified Health Centers and rural health clinics across 26 states. “This expanded agreement is an important development as it…
At least nine states are pushing to implement work requirements for their Medicaid programs. President Donald Trump backed Medicaid work requirements during his first administration. During Mr. Trump’s first term in office, 13 states chose to implement work requirements in…
The healthcare industry needs to have more conversations about patient experience, AI and preventive care, according to payer executives. Becker’s connected with 25 leaders to learn more about what they say is underdiscussed in healthcare. Like what you see here?…
North Carolina lawmakers introduced legislation March 18 aimed at reforming the approval process for prior authorizations. The bill would require payers to notify physicians within a specific timeframe if the medical necessity of a service is being questioned. It would…
An Ohio jury awarded Medical Mutual of Ohio over $50 million in damages on March 12 after the payer prevailed in its lawsuit against FrontPath Health Coalition and HealthScope Benefits, a subsidiary of UnitedHealthcare. FrontPath offers employee benefits solutions, and…
Optum Rx, the pharmacy benefit manager under UnitedHealth Group, will remove prior authorization requirements for approximately 80 prescription drugs, aiming to streamline access for patients with chronic conditions. The policy change is expected to cut reauthorizations by 25%, accounting for…
Cigna has closed the sale of its Medicare Advantage business to Health Care Service Corp. The sale includes The Cigna Group’s MA, Medicare Part D and supplemental benefits businesses, according to a March 19 news release. HCSC will also acquire…
Molina Healthcare President and CEO Joseph Zubretsky earned $21.9 million in 2024. The company reported the earnings of its top executives in its annual proxy report published March 17. Joseph Zubretsky, President and CEOSalary: $1,600,000Stock awards: $16,200,092Non-equity incentive plan compensation:…
The federal government is expected to spend $80 billion more on Medicare Advantage beneficiaries in 2025 than if these beneficiaries were enrolled in fee-for-service plans, and UnitedHealth Group scored a major legal victory in a case alleging the insurer overcharged…
California Gov. Gavin Newsom is asking lawmakers for an additional $2.8 billion to fund the state’s Medicaid program through the end of the year, Politico reported March 17. The request comes after Mr. Newsom proposed a $3.4 billion loan to…