Peter Kuipers, CFO of the technology-centered physician enablement and Medicare Advantage organization Clover Health, stepped down March 30. The move does not stem from a “disagreement” with the company on any matter relating to its operations, policies or practices, Clover…
Author: Elizabeth Casolo
Colorado Department of Health Care Policy and Financing Executive Director Kim Bimestefer is stepping down just as state lawmakers prepared to formally call for her ouster. In a bipartisan draft resolution obtained by Colorado Politics, state lawmakers criticized Ms. Bimestefer…
Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until at least May 1, the insurer confirmed to Becker’s March 31. The California Medical Association said the policy is pending review…
Cost Plus Drugs’ Mark Cuban recently voiced his support for the “Break Up Big Medicine Act,” introduced by Sens. Elizabeth Warren, D-Mass., and Josh Hawley, R-Mo. Proposed in February, the bill would prevent companies from simultaneously owning a health insurer…
A trustee of Dallas-based Steward Health Care is suing Aetna to recover $6.36 million the carrier allegedly owes, according to a March 27 lawsuit filed in the Houston division of the southern district of Texas U.S. bankruptcy court. In the…
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Iowa Republican Gov. Kim Reynolds signed a bill March 25, originally introduced March 13, that would tax HMOs 0.95% on money flowing through the plan to build out a healthcare fund. The tax will encompass HMOs, including Medicaid managed care…
ACA enrollment reached 23.1 million in 2026, a 5% decrease from 2025, CMS reported March 27. While enrollment is down about 1.2 million consumers from the open enrollment period last year, 2026 enrollment is still 8% and 41% higher than…
A bipartisan group of four senators is advocating for stricter provisions under the proposed No Unreasonable Payments, Coding, or Diagnoses for the Elderly Act to address insurer upcoding, according to a March 30 letter sent to CMS Administrator Mehmet Oz,…
Healthcare affordability took center stage in some governors’ 2026 “State of the State” addresses. The National Governors Association compiled excerpts from across the country that focused on healthcare, ranging from technology use to the Rural Health Transformation Program to insurance…
The CDC estimates that over three-quarters of American adults have at least one chronic condition, forcing healthcare leaders to strategize around system strain, quality of life and costs. In a March report, AHIP outlined approaches payers can take to address…