Elevance Health is expanding its education and professional development benefits with new programs centered on artificial intelligence and career growth. The insurer is partnering with OpenAI to offer employees AI certifications, including training in areas such as prompt engineering and…
Author: Jakob Emerson
The Department of Justice has filed a False Claims Act lawsuit against Inland Empire Health Plan (IEHP), alleging the Rancho Cucamonga, Calif.-based insurer misused federal Medicaid expansion funds and submitted false statements to the state. The Sept. 17 complaint was…
Health insurers say they will continue to provide coverage for recommended immunizations without cost-sharing through 2026. “Health plans are committed to maintaining and ensuring affordable access to vaccines,” AHIP said Sept. 16. “Coverage decisions for immunizations are grounded in ongoing,…
The NCQA published its 2025 ratings of health plans Sept. 16, evaluating plans on nearly 50 assessments of quality outcomes and member experience. Just 11 plans out of the nearly 1,000 rated received 5-stars. In the commercial market, Kaiser Permanente,…
UnitedHealthcare of Texas CEO, Scott Flannery, is retiring after 26 years with the company. Mr. Flannery has served as CEO of the market, which also covers Oklahoma, since 2022. He first joined the company in 1999. In a Sept. 16…
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Of the 998 health plans rated by the NCQA in 2025, 18 received a rating of 2 stars or lower. The ratings, published Sept. 16, evaluate plans on nearly 50 assessments of patient experience and clinical performance. Just 11 plans…
ACA co-op Common Ground Healthcare Cooperative, part of CareSource, is pulling back from offering individual and family health plans in 11 Wisconsin counties in 2026. The change includes all CGHC CareSource plans offered on the exchange and directly from the…
The National Committee for Quality Assurance has named the highest quality and most effective health plans of 2025 based on nearly 50 factors that include patient experience and clinical performance. The ratings were released Sept. 16 and are based on…
The California Department of Managed Health Care has issued a cease-and-desist order against Meritage Health Plan, effectively shutting down the Medicare Advantage insurer by the end of October. The Aug. 27 order requires six health plans (Alignment Health, Humana, SCAN…
A group of Republican lawmakers is pressing the Trump administration to step up enforcement of the No Surprises Act, citing ongoing problems with implementation and the IDR process. “We request the departments finalize clear and consistent QPA calculation methodology, accelerate…