Ninety-three percent of health plan executives anticipate AI will contribute value by automating prior authorizations, according to an analysis of Deloitte survey results released Jan. 15. The Deloitte Center for Health Solutions surveyed more than 100 C-suite leaders across healthcare,…
Author: Elizabeth Casolo
Massachusetts Gov. Maura Healey is the latest state leader to push for prior authorization reform, fleshing out her plan in a Jan. 14 news release. Just one day prior, New York Gov. Kathy Hochul had shared her intentions to tackle…
The ACA open enrollment period for 2026 ended Jan. 15, as a tumultuous battle over enhanced subsidies continues. The possible return of subsidies may no longer mean much for this year. Here are six things to know about how the…
Blue Cross Blue Shield of Vermont backed a campaign, called Vermont Affordable Care, focused on comparing pricing policies at independent facilities and academic centers. The initiative — also led by St. Albans, Vt.-based Northwestern Medical Center, Colchester, Vt.-based Green Mountain…
Democratic Gov. Kathy Hochul proposed several initiatives Jan. 13 that aim to shore up healthcare in New York state. Affordability has been a pressing concern among New Yorkers. In the news release, Ms. Hochul said she will direct the state’s…
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Grocery chain Albertsons is suing the Cigna-owned pharmacy benefit manager Express Scripts for at least $10.9 million for alleged prescription underpayments, according to a Jan. 7 complaint shared by the National Community Pharmacists Association. The lawsuit filed in Delaware’s Superior…
Aetna Better Health of Kentucky named Chris Lindy as its new CEO, according to a Jan. 14 LinkedIn post from Jennifer Ruehl Nachreiner, the plan’s COO. Mr. Lindy will oversee health plan operations, drive clinical outcomes, establish partnerships and a…
Through a collaboration with Evolent — a health technology company focused on managing complex care — Florida Blue achieved a 40% drop in hospital and emergency room visits for Medicare Advantage members with cancer, according to a Jan. 14 news…
Four hospitals under Grand Rapids and Southfield, Mich.-based Corewell Health are no longer in UnitedHealthcare’s network, according to a Dec. 31 update from the insurer. As of Jan. 1, UnitedHealthcare does not cover the Dearborn, Taylor, Trenton and Wayne hospitals…
Clover Health reported 53% year-over-year growth in Medicare Advantage PPO membership, according to a Jan. 14 news release from the insurer. The growth translated to roughly 153,000 members, building on positive traction from 2025. The company is now expecting to…