Today's Top 20 Stories
-
Jefferson Health Plans entering Pennsylvania ACA market
Jefferson Health Plans will enter Pennsylvania's ACA exchange market in 2024. -
Aetna to cover Signify + Oak Street Health for Medicare Advantage members
Aetna will offer a home health visit from Signify Health to Medicare Advantage beneficiaries at no extra cost as part of the payer's coverage changes for 2024. -
Meijer, BCBS Michigan launch co-branded Medicare Advantage plan
Blue Cross Blue Shield of Michigan and Meijer will offer a co-branded Medicare Advantage plan in 2024.
-
Cigna to pay $172M over alleged Medicare Advantage fraud
The Cigna Group will pay $172.3 million to resolve allegations that it violated the False Claims Act by submitting incorrect Medicare Advantage patient data to CMS to receive higher payments from the agency. -
Labor unions renew legal fight against BCBS Massachusetts over alleged overpayments
The Massachusetts Laborers' Health and Welfare Benefit Fund is suing Blue Cross Blue Shield of Massachusetts again for allegedly overcharging for healthcare and administrative services as the fund's third-party administrator. -
Lawmakers want answers from UnitedHealth, other major payers on Medicaid prior auth denials
Lawmakers are launching an investigation into the largest Medicaid managed care organizations over prior authorization denial rates. -
Anthem, Bon Secours end bitter dispute
Cincinnati-based Bon Secours Mercy Health and Anthem Blue Cross and Blue Shield have reached a contract agreement through 2028, ending one of the more public payer-provider reimbursement disputes of this year.
-
Disenrolled Medicaid beneficiaries aren't finding ACA plans
The shift from Medicaid coverage to individual exchange coverage is not going as planned, The Washington Post reported Sept. 28. -
Elevance Health in the headlines: 7 recent updates
Elevance Health has paused a major acquisition and alleged one of its former executives could expose trade secrets to rival Molina Healthcare. -
CMS innovation center did not save money in its 1st decade: CBO
The CMS innovation center tasked with creating innovative payment models cost the government more money than it saved in its first decade, a report from the Congressional Budget Office found. -
Regulator greenlights UnitedHealth's acquisition of UK company
The U.K.'s Competition and Markets Authority has given UnitedHealth the OK to acquire health technology firm EMIS Group.
-
UCare taps SSM Health-Costco PBM for pharmacy benefits
UCare has selected Navitus Health Solutions, a pharmacy benefit manager owned by St. Louis-based SSM Health and Costco, to administer pharmacy benefits to its more than 600,000 members across all lines of business, effective Jan. 1. -
Payers with the best telehealth services in 2023, per J.D. Power
Among the major payers, customers are most satisfied with the telehealth offerings from UnitedHealthcare and Kaiser Permanente, according to the "J.D. Power 2023 U.S. Telehealth Satisfaction Study." -
New Hampshire seeking Medicaid contract bids
New Hampshire is looking for payers to administer its Medicaid managed care program starting next year. -
11 payers among the greatest places to work for parents and families
Eleven payers have been named among Newsweek's 2023 America's Greatest Workplaces for Parents and Families. -
CareFirst BCBS sheds office space
CareFirst Blue Cross Blue Shield cut 140,000 square feet of office space in Washington, D.C., Bisnow reported Sept. 27. -
Medicaid in the headlines: 9 recent updates
HHS paused Medicaid enrollments in 30 states reporting issues with their automatic renewal systems, and some states are enacting or considering Medicaid expansion. -
COVID-19 vaccine coverage issues resolved, payer execs say
Private insurers are covering the full cost of COVID-19 vaccines for beneficiaries this fall, payer executives told HHS Secretary Xavier Becerra. -
Mass General Brigham Health Plan taps VP of marketing
Mass General Brigham Health Plan has named Deb Jorge as vice president of marketing. -
GuideWell names CVS Caremark exec as CFO
GuideWell has named Jeff Goddard as CFO.
Page 44 of 50