Some hospitals and health systems are paring the number of Medicare Advantage plans with which they contract, seeking payer partners that align on clinical and financial outcomes.
Author: Jakob Emerson
Open enrollment for the ACA exchanges is finished in most states and a record 21.3 million people are enrolled — a 30% increase year over year, or 5 million people.
Humana has promoted Chris Chappelear to senior vice president and chief insurance actuary, according to a Jan. 28 LinkedIn post.
Humana is expanding its primary care business for seniors into three new markets in 2024 and adding new centers in eight existing markets.
Idaho's state health plan administrator is set to switch from Blue Cross of Idaho to Regence BlueShield of Idaho in July, the Idaho Capital Sun reported Jan. 29.
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Blue Shield of California Promise Health Plan is now offering its Medicaid members in Los Angeles and San Diego counties the opportunity to earn their GED diploma at no cost, a first of its kind program in the state.
Cigna's Evernorth has sold seven outpatient imaging centers in Phoenix to diagnostic imaging provider RadNet for an undisclosed amount.
North Carolina's State Health Plan will not cover existing prescriptions for weight-loss drugs past April 1, WECT reported Jan. 26.
New Jersey has signed the nation's most comprehensive prior authorization reform bill into law.
Blue Cross Blue Shield of Massachusetts is pausing a controversial policy that went into effect Jan. 1 that limited coverage for the use of monitored anesthesia for certain gastrointestinal patients undergoing endoscopic, bronchoscopic or interventional pain procedures, including colonoscopies.