Author: Andrew Cass

The interim director of Oregon Health Plan — the state's Medicaid program — has been named to the role on a permanent basis.

The federal government will soon allow states to use Medicaid funds to treat substance use and mental illness in jails and prison, The Philadelphia Inquirer reported Feb. 21.

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

Humana will exit the Employer Group Commercial Medical Products Business over the next 18 to 24 months. 

Three Prime Healthcare hospitals in Texas are now in network with Molina Healthcare, myrgv.com reported Feb. 21. 

A former Cigna executive is barred from starting her new role at CVS Health while a lawsuit over her noncompete agreement moves forward, according to a Feb. 17 court order.

The following list ranks the states by the percentage of their private-sector employees who were enrolled in high-deductible health insurance plans in 2021. The U.S. national average is 55.7 percent.

CMS issued a proposed rule Dec. 6 that it says will streamline the prior authorization process. Here are four major changes the rule would bring that would affect payers, according to a Feb. 21 report from the Kaiser Family Foundation:

From its CEO becoming the first woman elected to chair the Business Council, to the payer being named among the nation's best large employers, here are eight updates about Elevance Health Becker's has reported since Jan. 31:

Anthem Blue Cross Blue Shield avoided going out of network with Fredericksburg, Va.-based Mary Washington Healthcare as the sides were able to reach a new contract ahead of the March 1 split date.