Fidelis Care New York has named Paul Portsmore plan president and CEO, effective Jan. 5. Previously, Mr. Portsmore served in leadership roles at Empire BlueCross BlueShield, Healthfirst, and AmeriHealth New Jersey. “I’m excited to join Fidelis Care at a pivotal…
Author: Jakob Emerson
Dozens of health insurers have received Human Experience Pinnacle of Excellence awards from Press Ganey, an annual recognition of healthcare organizations for performance across experience, engagement, quality and safety metrics. Winners represent the top 5% of health plans nationwide based…
L.A. Care Health Plan is laying off 225 employees by March 13. The insurer told Becker’s the move affects 3% of its workforce and was driven by federal and state Medi-Cal budget reductions, which subsequently led to organizational restructuring. Impacted…
Georgia has issued nearly $25 million in fines to 11 health insurers for violating state mental health parity laws. The penalties follow market conduct examinations that began after a 2023 data call report revealed potential violations of requirements that insurers…
UnitedHealthcare has launched a six-month pilot program aimed at cutting Medicare Advantage payment processing times in half for independent rural hospitals in four states. The Rural Payment Acceleration Pilot will reduce average MA payment timelines from less than 30 days…
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Aetna’s Medicaid President, Mark Santos, has been named senior vice president and head of network strategy and provider experience. Mr. Santos has been with the insurer for more than two decades, serving in a variety of leadership roles, including president…
ACA marketplace enrollment is declining nationally and Congress is struggling to extend the expired subsidies. Five updates on enhanced ACA subsidies: 1. President Donald Trump said Jan. 11 he might veto a bill to extend the subsidies, Bloomberg reported. The…
Pennsylvania’s ACA marketplace, Pennie, is shedding roughly 1,000 members each day as premium costs jump following the expiration of enhanced subsidies, the Pennsylvania Capital-Star reported Jan. 8. Pennie has lost at least 70,000 enrollees since November. Current enrollment sits between…
Alignment Healthcare added roughly 65,000 members in 2025, bringing its total enrollment to about 275,300 as of Jan. 1. The Medicare Advantage insurer disclosed the 31% year-over-year growth on Jan. 12, following a strong annual enrollment period. The company has…
CareOregon and Health Share of Oregon have notified members that unauthorized individuals accessed their personal information, which may have been used to create fraudulent claims. The Portland-based insurers learned of the breach Oct. 27 when one or more people viewed…