Bend, Ore.-based St. Charles Health System will remain in network with PacificSource, according to a Nov. 13 news release. The commercial contract will last for two years, whereas the Medicare Advantage contract will last for one year. St. Charles has…
Author: Elizabeth Casolo
Worcester, Mass.-based UMass Memorial Health and Blue Cross Blue Shield of Massachusetts agreed on a three-year contract set to take effect Jan. 1, according to the insurer. Almost 200,000 UMass Memorial patients are insured by BCBS of Massachusetts. The current…
Business services provider Conduent faced a data breach going into 2025, leaving insurers scrambling. According to the company, the breach could have revealed members’ names, social security numbers, insurance information and medical data. Here are three updates on how the…
During fiscal year 2025, Medicaid enrollment dipped while spending grew, according to a Nov. 13 KFF brief. The nonprofit organization hired Health Management Associates to consult state Medicaid directors across the country on recent trends. Florida, Kansas and Mississippi did…
Elevance Health is pushing to maintain its health plan contract for New York City employees, according to a Nov. 13 Bloomberg article on the court filings. The news outlet spotted an appeal in the case that was briefly public. The…
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Humana has filed a lawsuit against ChenMed, which operates medical centers for older patients, in Delaware over breach of contract and other alleged harms, according to a heavily redacted Nov. 7 court filing. Humana and ChenMed jointly operate JenCare Senior…
Cigna Healthcare has partnered with Magic Johnson to produce “Magic Sounds,” a six-track album designed to boost mental health, according to a news release. Cigna pulled from peer-reviewed research and worked with clinical experts and music therapists to determine tempo,…
North Carson City, Nev.-based Carson Tahoe Health and the Nevada Health Authority are extending the health system’s contract with UMR, a UnitedHealthcare subsidiary, according to a Nov. 11 post. State of Nevada employees will stay in network with CTH through…
The Wasteful and Inappropriate Service Reduction initiative from CMS will take effect next year, adding prior authorization requirements to traditional Medicare. Providers in Arizona, Washington, New Jersey, Texas, Ohio and Oklahoma will pilot the new protocol. Here are eight things…
President Donald Trump proposed that federal healthcare funds bypass insurers and be directed straight to individuals in a Nov. 8 post on Truth Social. “I am recommending to Senate Republicans that the Hundreds of Billions of Dollars currently being sent…