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Author: Andrew Cass

Ohio Department of Medicaid Director Maureen Corcoran is stepping down from the role, effective Oct. 31. Ms. Corcoran has served as director since January 2019, according to a Sept. 18 news release from Ohio Gov. Mike DeWine’s office.  “Maureen has…

Two prior authorization reform bills have passed the California legislature and are headed to Gov. Gavin Newsom’s desk.  The California Medical Association, which supported the legislation, said in a Sept. 11 news release the bills “aim to dramatically streamline the…

From the Justice Department expanding its criminal investigation into the company, to the completion of its acquisition of Amedisys, here are 12 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Aug. 7: 1. Two U.S. senators…

Baltimore-based Johns Hopkins Medicine went out of network with UnitedHealthcare on Aug. 25 after the parties were unable to agree on a new contract.   The split comes after the two sides negotiated for eight months and extended their current…

The Green Mountain Care Board — the independent agency overseeing Vermont’s healthcare system — reduced BlueCross and BlueShield of Vermont and MVP Health Plan’s requested premiums for individuals and small businesses. The reduced rate increases affected 70,000 Vermont residents, according…

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UnitedHealth’s Rocky Mountain HMO and Elevance’s Anthem HMO Colorado have filed plans to end coverage for multiple health plans in the individual market for the state.  The decisions are projected to affect 96,000 Coloradans, the Colorado Division of Insurance said…

A Texas federal judge dismissed Elevance Health’s lawsuit challenging its 2025 Medicare Advantage star ratings, ruling that the company “has not shown any evidence that CMS acted arbitrarily or capriciously.” Elevance filed its lawsuit Oct. 31, 2024, alleging that CMS’…

Iowa will implement work requirements for its Medicaid expansion program beginning Jan. 1, 2026, Radio Iowa reported Aug. 19.  Under the recently signed One Big Beautiful Bill Act, states will have to establish Medicaid work requirements for certain individuals, beginning…

Employers are expecting a median healthcare cost increase of 10% in 2026, according to a survey from the International Foundation of Employee Benefit Plans. The results reflect the responses from 150 corporate and single employers surveyed between July 30 and…

New Hampshire Gov. Kelly Ayotte has signed legislation banning surprise ground ambulance billing and establishing reimbursement rates insurers must pay for services. Beginning Jan. 1, 2026, ambulance providers — whether in-network or out-of-network — will be prohibited from billing patients…

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