Author: Elizabeth Casolo

New York Attorney General Letitia James reported $1.53 million in restitution and savings in 2025 through her office’s healthcare helpline, according to a March 23 news release. The helpline acts as a resource for New Yorkers seeking clarity on bills,…

CMS approved Minnesota’s plan to tackle Medicaid integrity concerns, according to a March 19 letter to the state’s Medicaid director. In January, CMS informed Minnesota of “several deficiencies” in the state’s Dec. 31 plan submission to resolve integrity concerns, which…

Priority Health named Brian Steele, DO, as senior vice president and chief medical officer, effective April 6, according to a March 23 news release from the insurer. Dr. Steele will run the insurer’s clinical and pharmacy efforts, including population health…

Cigna Healthcare — Cigna’s health benefits division — named Stanley Crittenden, MD, as chief medical officer, according to a March 23 news release. Dr. Crittenden will oversee the business’s clinical initiatives. He will collaborate with fellow leaders at The Cigna…

Victor Fields will serve as president and CEO of Highmark Wholecare, the insurer’s Medicaid and Medicare dual-eligible business, according to a March 23 news release. Mr. Fields is taking over for Ellen Duffield, who is retiring June 1. She has…

Signed into law 16 years ago on March 23, 2010, the ACA has recently been at the center of a government shutdown, coverage dips and political discourse. Here are five things to know about where the law currently stands:

For insurers that remain committed to their Medicare Advantage businesses, special needs plans have been a major growth driver. KFF estimated that almost half of MA enrollment growth from 2024 to 2025 stemmed from these tailored plans. In 2025, SNPs…

The Maryland Insurance Administration issued Cigna an $80,000 fine and is requiring the insurer to stop automatic downcoding under a recent policy, according to a March 13 letter. Cigna’s evaluation and management policy allows the insurer to adjust some higher-level…

A Democrat-led bill that would create a $200 million trust fund for health coverage cleared a Connecticut state Senate committee, according to a March 19 news release. The money would move from the state’s emergency federal response fund into the…

A former Humana employee filed a class-action lawsuit March 17 alleging the insurer improperly deducted a tobacco surcharge as part of its medical coverage, according to a court filing in the U.S. District Court for western Kentucky. The complaint said…