The Massachusetts Group Insurance Commission during a Feb. 26 meeting voted to eliminate GLP-1 coverage for state employees and retirees. Chair Valerie Sullivan said removing the coverage would help with managing the budget. She called the vote “a very difficult…
Author: Elizabeth Casolo
An investigation into former CalOptima Health board member and chair Andrew Do found no fraud during his tenure, the insurer said in a Feb. 18 news release. In 2025, Mr. Do — previously an Orange County supervisor — was sentenced…
On Feb. 25, physician staffing groups filed a federal antitrust lawsuit in California against the BCBS Association and over 30 of its licensees — along with plan owners Elevance Health, Highmark, GuideWell, Cambia Health Solutions and Health Care Service Corp.…
Elevance Health is shifting management across healthcare services arm Carelon and health benefits, according to a Feb. 26 news release. Mark Kaye, executive vice president and CFO, will oversee Carelon. Peter Haytaian will no longer serve as EVP and president…
BCBS Tennessee COO Scott Pierce voiced concerns over pending state bills — accusing them of eventually “forcing higher prices” — in Feb. 26 op-ed columns published in the Leaf Chronicle and The Tennessean. Mr. Pierce took issue with four state…
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Researchers identified 13.4% of young adults with and 35.6% without complex medical conditions ended up disenrolled from Medicaid at 19 years old, according to a study published Feb. 16 in JAMA Pediatrics. Researchers from the University of Chicago, the University…
Business services provider Conduent’s data breach affected at least 25 million people across the U.S., according to a February update from Wisconsin’s Department of Agriculture, Trade and Consumer Protection. The Conduent breach took place between the end of 2024 and…
Medicare Advantage margins are outperforming other lines of business, according to a Feb. 23 KFF data brief. The analysis relied on 2024 insurer-reported financial data found in Mark Farrah Associates’ Health Coverage Portal database, looking across individual, group, Medicaid and…
Through a multiyear agreement, Farmington-based University of Connecticut Health will go back in network for Aetna commercial and Medicare Advantage members starting March 1, an Aetna spokesperson confirmed to Becker’s Feb. 25. “This new agreement ensures continued access to high-quality,…
Montgomery, Ala.-based Jackson Hospital is suing BCBS Alabama amid the hospital’s bankruptcy proceeding, according to a Feb. 16 filing with the Middle District of Alabama’s U.S. Bankruptcy Court. According to the filing, BCBS Alabama loaned over $1.5 million to Jackson…