Chapel Hill-based University of North Carolina Health and Cigna missed their Dec. 1 contract negotiation deadline, according to both organizations. UNC Health hospitals, clinics and providers are all out of network, but some patients may qualify for continuity of care…
Author: Elizabeth Casolo
New York Gov. Kathy Hochul signed a bill ensuring one rescue inhaler and one maintenance inhaler would be available to patients on state-regulated health plans, free of charge, according to a Nov. 24 news release. The New York State Department…
Columbus, Ohio-based Mount Carmel Health System, a member of Livonia, Mich.-based Trinity Health, is back in network with Humana, according to both the health system and the insurer. Mount Carmel confirmed the agreement will span multiple years and reinstate access,…
Cobalt Health Solutions, a subsidiary of Blue Cross and Blue Shield of Kansas City (Mo.), is selling Cobalt MedPlans to MDI NetworX, according to a Nov. 24 news release. Cobalt MedPlans offers administrative services to payers, assisting a variety of…
America’s Health Insurance Plans, a trade association, published a report on the use of long-term care insurance across the country. For its “Long-Term Care Insurance Coverage: State-to-State 2025” report, AHIP compiled 2024 data from the National Association of Insurance Commissioners…
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Humana is not letting go of its 2025 Medicare Advantage star ratings case. In the wake of the dismissal of Humana’s lawsuit with prejudice in October, the insurer announced plans to appeal to the 5th U.S. Circuit Court of Appeals…
ACA enhanced tax credits may best be described as a “will they or won’t they” — will Congress extend them past the end of the year, or are they on track to expire? While an extension could happen, the outcome…
Cigna is joining a handful of other payers in CMS’ health technology “ecosystem,” according to a news release from the company. The CMS website said participants in the ecosystem agree to align on an interoperability framework for healthcare data and…
The American College of Physicians published recommendations for managed care Nov. 25 in the group’s flagship journal, Annals of Internal Medicine. Managed care plans, like HMOs and PPOs, are insurance models that focus on mitigating costs and utilization while maintaining…
The Illinois Department of Healthcare and Family Services launched home-visit coverage for pregnant and parenting Medicaid enrollees, effective Nov. 21. Under the initiative, the state covers some prenatal visits, including sessions for health education, blood pressure monitoring, behavioral health screenings,…