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The Trump administration has proposed a shortening of the ACA enrollment period and the implementation of eligibility verification checks under…
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The Trump administration has proposed a shortening of the ACA enrollment period and the implementation of eligibility verification checks under fully subsidized plans each year. Enrollment in the ACA marketplace reached a record high of 23.6 million in 2025, spurred…
The first grand opening of a CenterWell Senior Primary Care clinic located next to a Walmart will take place March 26 in Gladstone, Missouri. The new clinic officially opened and began accepting new patients in late 2024, according to a…
Hawaii lawmakers have introduced legislation that seeks to address growing provider concerns around the prior authorization process. The bill would require insurers to report data related to prior authorization to the state and would introduce specific timelines for the approval…
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…