Ascension Wisconsin is back in network with UnitedHealthcare, according to an Oct. 14 UHC news release. “We have reached a multi-year agreement that restores network access to Ascension Wisconsin for people enrolled in UnitedHealthcare commercial, Medicare Advantage and Medicaid plans,…
Author: Elizabeth Casolo
Amid a government shutdown over ACA subsidies and contentious “Make America Healthy Again” moves, Becker’s checked in with behavioral health payer and managed care provider Magellan Health’s CEO, Caroline Carney, MD, to glean her insights on how her organization is…
On Nov. 1, current Healthcare.gov enrollees in Illinois will move to state-based health insurance marketplace, Get Covered Illinois, for their 2026 coverage, according to a news release confirming CMS approval this summer. In 2023, Illinois passed a law instituting a…
California Attorney General Rob Bonta landed a $40 million settlement with Health Net, a subsidiary of Centene, over inaccurate provider directories, according to an Oct. 13 news release. The settlement includes a $12 million payment and roughly $28.5 million in…
Brett Davis will serve as the plan president for Molina Healthcare of Wisconsin, according to an Oct. 13 news release. Mr. Davis was most recently a leader of the U.S. Health and Human Services advisory at SAS. He also has…
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The Office of Personnel Management announced 2026 federal worker health premiums this month, ahead of the open enrollment period. The health benefits season runs from Nov. 10 through Dec. 8. Shane Stevens, OPM’s associate director for healthcare and insurance, said…
Sens. Ron Wyden, Elizabeth Warren, Bernie Sanders and Raphael Warnock sent a letter Oct. 10 to Deloitte, Conduent, General Dynamics Information Technology and Gainwell Technologies probing how they determine Medicaid access. The letter comes amid broader legislation that enforces stricter…
California Gov. Gavin Newsom signed a law that aims to curb inflated drug pricing by pharmacy benefit managers on Oct. 11. The legislation restricts “spread pricing,” wherein PBMs charge a plan or insurer more than the total paid to the…
CMS released its Medicare Advantage star ratings for 2026 on Oct. 9. Strong ratings, with five stars being the highest score, lead to plans earning quality bonus payments. Eighteen plans achieved a 5-star status, versus only seven last year. These…
CMS shared its Medicare Advantage star ratings for 2026 on Oct. 9. Strong ratings lead to plans earning quality bonus payments, while plans that consistently underperform may encounter more oversight and a higher risk of contract cancellation. The number of…