Pennsylvania lawmakers introduced a bill in October to regulate AI use in health insurance, joining a wave of states attempting to add guardrails in the payer space, especially after an early draft of the One Big Beautiful Bill Act included…
Author: Elizabeth Casolo
Omaha, Neb.-based GS Labs, a currently nonoperational COVID-19 testing firm, is suing Aetna, alleging the insurer owes over $53 million for more than 100,000 claims related to COVID-19 testing services, according to an Oct. 6 court filing. GS Labs accused…
Cigna has agreed to settle a “ghost network” class-action lawsuit for $5.7 million, according to October federal court filings in Illinois. Plaintiffs Andrew and Andrea Hecht alleged that in 2021, they received bills from a hospital saying it was out…
Even those with employer-sponsored health insurance struggle with accessing mental healthcare, according to a survey from the Employee Benefit Research Institute and Path Forward. The survey encompassed over 3,100 workers with employer-sponsored health coverage. Here are five numbers depicting how…
Sixty-five percent of U.S. voters believe Democrats should accept a continuing resolution to end the government shutdown instead of holding out for extended ACA funds, according to a Harvard CAPS-Harris Poll. The survey ran Oct. 1-2, gathering results from 2,413…
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The Maryland Department of Health is streamlining three Medicaid waiver programs overseen by the Developmental Disabilities Administration into a single program, according to an Oct. 6 news release. The unified waiver program aims to help those with intellectual and developmental…
Springfield, Mass.-based Baystate Health appointed Michael Treash as the president of its insurance business, Health New England, according to an Oct. 6 news release. Mr. Treash just served as the chief operating officer and senior vice president of Detroit-based Henry…
The American Hospital Association critiqued the Medicare Payment Advisory Commission’s initial assessment of Medicare Advantage enrollment changes and its effect on hospital finances, according to an Oct. 3 letter from Molly Smith, AHA’s group vice president of public policy. MedPAC…
A federal judge in Washington state ruled in favor of Elevance Health in a case involving a former executive who was accused of violating a relationship policy and was terminated, according to an Oct. 3 order granting a motion for…
Caroline Goldzweig, MD, and Betsy Seaton joined the board of directors for Premera — parent company of Premera Blue Cross — according to an Oct. 6 news release. Dr. Goldzweig is the vice president and chief medical officer for the…