The new year started off strong with a handful of payer mergers and acquisitions, often known as affiliations for nonprofits. Here are five M&A moves so far: 1. North Dakota regulators approved an affiliation between BCBS North Dakota and Cambia…
Author: Elizabeth Casolo
When the CEO of behavioral health payer and managed care organization Magellan Health thinks about AI, its use falls into several buckets. But the verdict on whether AI can replace providers is unclear. Caroline Carney, MD, of Centene subsidiary Magellan…
Anthem Blue Cross and Montage Health’s Community Hospital of the Monterey Peninsula (Calif.) have established an agreement Jan. 26, just ahead of their end-of-month contract deadline, both organizations confirmed in a news release shared with Becker’s. The agreement keeps members…
Dane Street is now certified as a federal independent dispute resolution entity, CMS said in a Jan. 26 email. The No Surprises Act intends to prevent surprise billing through its IDR process, which is designed to settle payment disputes between…
Republican Gov. Greg Abbott is pressing the Texas HHS Office of the Inspector General and HHS Commission to investigate the state’s Medicaid program for fraud, according to a Jan. 16 letter. The push comes weeks after the federal HHS froze…
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North Dakota regulators signed off on an affiliation between BCBS North Dakota and Cambia Health Solutions Jan. 23, a news release said. The affiliation is set to take effect Feb. 1. “Reaching this milestone puts us one step closer to…
Angle Health Co-founder and CEO Ty Wang thinks recent CMS and FDA initiatives will set a precedent that goes beyond Medicare. The “Advancing Chronic Care with Effective, Scalable Solutions Model” from CMS and “Technology-Enabled Meaningful Patient Outcomes for Digital Health…
Minneapolis-based Hennepin Healthcare filed a notice of intervention Jan. 22 to interject itself into insurer UCare’s rehabilitation. UCare planned to hand over its Medicaid and ACA businesses to fellow insurer Medica in 2026 as its Medicare Advantage line discontinues. In…
The Montana Office of the Commissioner of Securities and Insurance hosted an administrative hearing Jan. 22 to address a data breach that affected BCBS Montana, owned by Health Care Service Corp. The hearing comes in the wake of a cybersecurity…
A handful of states have declared emergency measures ahead of a winter storm slated to begin around Jan. 24. BCBS North Carolina is explicitly allowing early prescription refills, while Tricare — the U.S. Department of Defense’s health insurance program for…