Centene has created two group president roles, according to an April 6 news release. Daniel Finke will join Centene as group president of markets and commercial, and Michael Carson, CEO of Wellcare — Centene’s Medicare business — is becoming group…
Author: Elizabeth Casolo
EmblemHealth will continue negotiations with New York City-based NewYork-Presbyterian until April 10, according to an April 2 social media post from the United Federation of Teachers, the city’s union for public school teachers. The union issued a news release earlier…
Rockville Centre, N.Y.-based Catholic Health is going out of network with Healthfirst, effective May 15, the health system and the insurer confirmed to Becker’s. The previous agreement ended March 15. The organizations are currently in a two-month “cooling off period,”…
CommonSpirit Health’s Tennessee and Georgia facilities (formerly CHI Memorial), is back in network with Cigna Healthcare, according to an insurer statement shared with Becker’s April 3. “We have reached an agreement that will keep CommonSpirit in our network. We look…
The Congressional Budget Office estimated the CMS Innovation Center spent $7.9 billion from 2011 through 2020, a March 27 report from the Government Accountability Office said. While some models have been expanded beyond testing, the Innovation Center has seen mixed…
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Aetna appointed Lisa Baird as the CEO of Aetna Better Health of Missouri and Corey Pleasants as CEO of Aetna Better Health of Pennsylvania, according to April 2 LinkedIn posts. Ms. Baird has spent nearly 20 years leading Aetna Medicaid…
Oregon Health Plan Bridge, the state’s basic health program, did not comply with income requirements, according to a March 31 audit from the Oregon Secretary of State. Auditors issued an adverse opinion of the program, which was implemented in July…
Houston-based Memorial Hermann Health System’s contract with BCBS Texas expired April 1, rendering the health system out of network. Commercial and ACA exchange (both individual and family) plan members lost access at the end of March. Memorial Hermann has been…
CMS issued a request for applications March 31 for its long-term enhanced ACO design model. The model’s performance period will span one decade — the longest CMS has tested — and run from Jan. 1, 2027, until Dec. 31, 2036.…
New York City-based VillageCare appointed Shaun Ruskin to serve as president and CEO of the organization and its managed care plan, VillageCareMAX. VillageCare specializes in supporting older adults, those with chronic conditions and those seeking continuing care, offering at-home and…