BCBS Minnesota appointed Allysia Jenkins, BSN, RN, DNP, as vice president of health solutions and Benjamin Pepin as vice president of affordability, according to a Jan. 22 news release. Dr. Jenkins’s new role will encompass case management, population health, utilization…
Author: Elizabeth Casolo
Missouri Republican state Sen. Benjamin Brown introduced a bill Jan. 7 to slash prior authorization requirements for providers. Providers would be exempt from prior authorization unless the insurer or party carrying out utilization review determined that less than 90% of…
The Indiana Hospital Association, Indiana State Medical Association and Indiana Physicians Health Alliance are all backing a bill targeting Elevance Health’s out-of-network provider penalties, the organizations shared in a Jan. 21 news release. The bill advanced in the state’s legislature…
Louisiana Blue Senior Vice President of Care Delivery Sabrina Hogan, MSN, will take on an expanded role leading the company’s largest regional office in Monroe, La., according to a Jan. 15 news release. “To ensure we continue to strengthen this…
Maryland is losing its longstanding rate-setting power for Medicare fee-for-service under CMS’ “achieving healthcare efficiency through accountable design” payment model. Commercial insurers are going to bear the brunt, needing to tackle about half of the state’s necessary savings and covering…
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Clover Health CEO Andrew Toy is feeling bullish about his company’s AI positioning. “We are absolutely, in my mind, the AI leader in Medicare Advantage,” he said Jan. 15 at the J.P. Morgan 2026 Healthcare Conference in San Francisco. Clover…
Fortune and consulting firm Korn Ferry released their 2026 “World’s Most Admired Companies” ranking Jan. 21, featuring five U.S. health insurers. The publisher and firm start with 1,500 candidates before focusing on the highest-revenue companies. They then identify the “best-regarded…
Democratic Oklahoma state Sen. Julia Kirt is pitching a bill that would eliminate credit scores as a factor in determining health insurance premiums. Ms. Kirt is introducing three bills targeting costs across the insurance industry, according to a Jan. 12…
Blue Cross of Idaho is implementing “organizational changes” to boost efficiency and lower costs, affecting fewer than 90 roles, a spokesperson confirmed to Becker’s Jan. 21. “These decisions were not easy to make but position Blue Cross of Idaho to…
ACA plans are too expensive for the majority of Americans, according to a study published Jan. 6 in Medical Care. With enhanced subsidies still in limbo, the study relied on Commonwealth Fund definitions to evaluate unaffordability: At least 10% of…