The Cigna Group will pay $172.3 million to resolve allegations that it violated the False Claims Act by submitting incorrect Medicare Advantage patient data to CMS to receive higher payments from the agency.
Author: Jakob Emerson
The Massachusetts Laborers' Health and Welfare Benefit Fund is suing Blue Cross Blue Shield of Massachusetts again for allegedly overcharging for healthcare and administrative services as the fund's third-party administrator.
Cincinnati-based Bon Secours Mercy Health and Anthem Blue Cross and Blue Shield have reached a contract agreement through 2028, ending one of the more public payer-provider reimbursement disputes of this year.
UCare has selected Navitus Health Solutions, a pharmacy benefit manager owned by St. Louis-based SSM Health and Costco, to administer pharmacy benefits to its more than 600,000 members across all lines of business, effective Jan. 1.
Among the major payers, customers are most satisfied with the telehealth offerings from UnitedHealthcare and Kaiser Permanente, according to the "J.D. Power 2023 U.S. Telehealth Satisfaction Study."
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New Hampshire is looking for payers to administer its Medicaid managed care program starting next year.
Eleven payers have been named among Newsweek's 2023 America's Greatest Workplaces for Parents and Families.
Mass General Brigham Health Plan has named Deb Jorge as vice president of marketing.
Medicare Advantage and Medicare Part D premiums, benefits and plan choices won't be changing much in 2024, CMS said Sept. 26.
Centene is laying off about 2,000 employees starting Oct. 2, or about 3 percent of its workforce, as the company faces financial difficulties over Medicaid redeterminations and Medicare Advantage star ratings, the St. Louis Business Journal reported Sept. 26.