Author: Jakob Emerson

The Blue Cross Blue Shield Association's board of directors has elected CareFirst BlueCross BlueShield President and CEO Brian Pieninck as chair, effective Nov. 15.

UnitedHealth Group has named Shawna Gisch as CEO of Optum Home and Community Care, the company's home-based care division.

West Reading, Pa.-based Tower Health will be out of network for all Cigna Healthcare members starting Jan. 1 following a disagreement over reimbursement rates, the Reading Eagle reported Nov. 24.

As the nation's largest insurers have evolved to become health services organizations capable of providing healthcare and paying for it too, several Blue Cross Blue Shield companies are following suit and becoming providers as well.

Pittsburgh-based UPMC will transfer 6 million patient records from nine EHRs to Epic Systems by mid-2026, a move that will enable its clinicians with better data to improve health equity and quality, according to Johanna Vidal-Phelan, MD.

The Hospital Insurance Trust Fund would be solvent until 2048 if traditional Medicare utilization levels were similar to those under Medicare Advantage, according to research published in October by AHIP and conducted by Avalere. 

From UnitedHealth expanding plans to 26 states total to Centene expanding its footprint within 11 markets, these are six payers expanding their exchange offerings in 2024.

Elevance Health has named Melissa Sherry, PhD, staff vice president of social impact and equity.

Excellus BlueCross BlueShield awarded 31 upstate New York hospitals and health centers a combined $28 million in 2022 for quality care improvements.  

Fewer Medicare Advantage beneficiaries are choosing no-premium plans for 2024, according  to eHealth's November snapshot report that tracks MA and Part D plans selected by beneficiaries in the first half of the current annual enrollment period, or Oct. 15 to…