Blue Cross and Blue Shield of Minnesota has tapped Erin Barney as president of commercial markets and Jamie Reuter, PharmD, as vice president of pharmacy solutions, according to a Sept. 8 news release. Ms. Barney will supervise strategy and execution…
Author: Elizabeth Casolo
Louisville, Ky.-based Norton Healthcare is now going out of network with Cigna on Oct. 1 following an extension, according to a system news release. The contract was originally scheduled to terminate Sept. 8, but now patients with Cigna coverage will…
A settlement has been finalized in a decadelong lawsuit that claimed Aetna and Optum used misleading billing practices to conceal administrative fees for chiropractic and physical therapy services as medical charges. Chief Judge Martin Reidinger of the federal Western District…
Elevance Health is cutting some Medicare Advantage plans — affecting about 150,000 members next year — and fully exiting standalone Part D plans in 2026. “We made the decision to exit some plans and counties where we did not see…
Massachusetts’ Division of Insurance and Department of Public Health has issued a bulletin Sept. 3 requiring insurance carriers to cover vaccines as outlined by the state, not just the CDC. “We won’t let Donald Trump and Robert Kennedy get between…
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The House Committee on Oversight and Government Reform is investigating CVS Health over reports of the company using confidential patient information to lobby against a bill under consideration by the Louisiana legislature. Chairman James Comer, R-Ky., and Subcommittee on Federal…
Portland-based CareOregon has hired McKinsey & Co. as the nonprofit insurer navigates financial challenges, Willamette Week reported Sept. 3. CareOregon laid off 80 employees and canceled 70 empty roles in July. In a statement shared with Becker’s, CareOregon cited rising…
Total health benefit costs per employee are slated to increase 6.5% in 2026, marking the highest jump since 2010, according to Mercer’s 2025 National Survey of Employer-Sponsored Health Plans. That figure takes cost-reduction measures into account. Employers estimate nearly a…
A group representing nonprofit health plans is raising concerns over what it claims is a wide variation in Medicare Advantage risk adjustment scores across insurers, leading to what it calls a “gaming” of MA payments to the benefit of for-profit…
Aledade’s ACOs accumulated $1 billion in savings through the Medicare Shared Savings Program in 2024. The network of independent primary care providers worked with about 11% of all MSSP beneficiaries, contributing nearly 20% of the program’s shared savings, according to…