Premera Blue Cross named Rajat Puri as COO, according to a Dec. 4 news release. Mr. Puri will focus on managing the insurer’s technology and operations teams to improve member experience across customer service, billing, claims processing, information technology and…
Author: Elizabeth Casolo
More than half of ACA marketplace enrollees would be likely to pick up extra work if healthcare costs increase by $1,000 per year, a Dec. 4 KFF analysis found. With enhanced tax credits set to expire at the end of…
Cost Plus Drugs co-founder Mark Cuban and Humana CEO Jim Rechtin said their companies are working together, Forbes reported Dec. 4. “We’re talking to CenterWell,” Mr. Cuban said during the Forbes Healthcare Summit. “I would say we are treating the…
Having a sense of purpose promotes health engagement, according to research published Dec. 4 by The Cigna Group. But fewer than one-third of adults have it. In collaboration with YouGov, Cigna’s “Vitality in America” report fielded responses from 5,000 Americans.…
The U.S. Government Accountability Office found significant fraud risk in the ACA application process, according to a Dec. 3 agency report. Auditors applied for coverage under fictitious identities to test marketplace enrollment controls. The marketplace approved coverage for the four…
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Aetna is bundling pharmacy prescriptions and medical procedures into a single clinical review, according to a Dec. 4 news release. Providers previously had to submit two prior authorizations, but, as of November, providers only have to file one medical review,…
The Trump administration introduced plans to lower obesity drug costs for Medicaid and Medicare, but commercial insurance coverage of GLP-1s remains a concern. “There is some speculation that this initiative will help create downward pressure for drug manufacturers to lower…
Farmington-based University of Connecticut Health’s contract with Aetna expired Dec. 1. UConn Health, including John Dempsey Hospital and the UConn Medical Group, will no longer be covered. This status does not apply to retirees of state government employment and Aetna…
Angle Health raised $134 million in series B funding to scale its benefits platform, according to a Dec. 3 news release. The company secured a mix of debt and equity, with total funding reaching nearly $200 million. Portage led the…
A Massachusetts federal judge issued a preliminary injunction temporarily preventing Medicaid cuts to certain nonprofit reproductive health and abortion service providers for 23 plaintiff jurisdictions, according to a Dec. 2 ruling. The judge found the cuts, part of the One…