Louisville, Ky.-based Norton Healthcare and Norton Children’s will stay in network with Cigna Healthcare, according to an Oct. 3 statement on the health system’s website. The partnership was originally scheduled to terminate on Sept. 8, but Norton and Cigna discussed…
Author: Jakob Emerson
New Mexico lawmakers are advancing legislation that would use state funds to offset the impending expiration of ACA enhanced premium tax credits. The bill, passed Oct. 1 in the state’s House of Representatives, would take effect immediately if signed by…
Blue Cross Blue Shield is exiting the Medicare Advantage market for 2026, citing an unsustainable market to offer affordable products. The company will continue to offer Medicare supplement plans, according to an Oct. 1 news release. Many insurers have exited…
CMS has suspended Gold Kidney of Florida from enrolling new members into one of its Medicare Advantage plans after state regulators found significant compliance and financial oversight failures. On Sept. 12, the Florida Office of Insurance Regulation issued a consent…
A federal court ordered Humana to pay more than $32 million in attorneys’ fees, costs and interest following the resolution of a False Claims Act case in 2024 over the company’s Medicare Part D bids. In a Sept. 19 order,…
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Almost half of Medicare Advantage enrollment growth since 2024 has been driven by special needs plans, according to an analysis from KFF. 4 notes on special needs enrollment in 2025: 1. In 2025, 21% of MA enrollees are in SNPs.…
Three health insurers have been named among the top 50 companies that are effectively adopting and scaling the use of artificial intelligence by Fortune. The AIQ 50 ranking measures Fortune 500 companies through a score that combines self-assessments, peer evaluations…
The National Committee for Quality Assurance has named Vivek Garg, MD, as its next president and CEO, effective Jan. 5. Dr. Garg succeeds NCQA founder and current president Margaret O’Kane, who will retire at the end of this year. He…
UnitedHealth Group has asked a Minnesota federal court to throw out a proposed class action lawsuit filed against it by the country’s largest pension fund. The lawsuit, originally filed by the California Public Employees’ Retirement System (CalPERS) in May 2024 and…
The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden has been with the company since 1999 and has served in a variety of leadership roles. She was named president of behavioral…