Brewer, Maine-based Northern Light Health and Anthem Blue Cross Blue Shield failed to establish a new contract extending coverage by their Oct. 31 deadline, both organizations confirmed to Becker’s. “We continue to work closely with Anthem to conclude negotiations as…
Author: Elizabeth Casolo
Special needs plans are far from new, but they continue to hold promise as some insurers step back from Medicare Advantage. One KFF analysis attributed about half of MA enrollment growth since 2024 to SNPs, with 21% of 2025 MA…
In June, Becker’s predicted that 2025 would shape up to be the year of AI agents in healthcare. While AI agents are nothing new, more insurers are getting on the bandwagon. AI agents complete tasks autonomously to achieve specific goals.…
Writer and former first daughter Chelsea Clinton will no longer serve on Clover Health’s board, according to an Oct. 31 news release. According to the company, Ms. Clinton was the longest-serving board member, having joined in early 2017. Oct. 31…
Elevance Health said it is going all in on AI, but the tech’s potential risks in insurance have spurred recent regulations, signaling the public’s concern. Anita Allemand, PharmD, joined Elevance Health as chief growth officer earlier this year. She spoke…
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The Cigna Group’s Evernorth recently shared plans for a rebate-free pharmacy benefit model. The move could simplify drug pricing, but leaders on Cigna’s Oct. 30 earnings call warned of some potential growing pains while adjusting to the change. “Our new…
The federal government has shut down for the first time since 2019 after lawmakers failed to reach a funding deal, with the fate of enhanced ACA subsidies, set to expire at year’s end, hanging in the balance. Premium tax credits…
New York City employees and retirees — coupled with advocacy group Hands Off NY Care — filed a lawsuit in response to the city’s expected transition to a self-funded health plan, according to an Oct. 29 court document. The new…
CVS Health President and CEO David Joyner highlighted Aetna’s “renewed vigor” during an Oct. 29 earnings call. Despite CVS’ $4 billion loss in the third quarter, the company’s healthcare benefits segment generated $36 billion in revenue, a 9% year-over-year boost.…
PacificSource will cut about 300 roles across Oregon, Idaho, Montana and Washington, according to a spokesperson and notices filed with the government. The payer cited a “significant” drop in Medicaid membership across Lane County, Ore., as a driving force behind…