CMS is freezing $259.5 million in federal Medicaid funding to Minnesota, citing unsupported or potentially fraudulent claims in the state’s program. “We have decided to temporarily halt certain amounts of Medicaid funding that are going to the state of Minnesota…
Author: Jakob Emerson
HHS released its third annual report Feb. 9 that evaluates how the No Surprises Act has affected healthcare markets. The report was produced with analytical support from RAND, and extends claims data trends through 2022, the first full year after…
Fiona Fang has been named CEO of Aetna Better Health of Florida. Ms. Fang will oversee operations, clinical performance, network strategy, and provider partnerships. She has been with Aetna since 2017. “Fiona brings deep expertise across Florida’s Medicaid, CHIP and…
A coalition of more than 60 employer groups, insurers, patient advocacy and labor organizations sent a letter Feb. 24 to the Treasury Department, Labor Department and HHS, urging the Trump administration to crack down on what they describe as systemic…
GoodRx is moving into the employer benefits market with a new program that lets companies subsidize discounted cash prices on brand-name drugs for their employees. The program, GoodRx Employer Direct, launched earlier this year with grocery chain Hy-Vee as one…
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The Alabama Senate has passed legislation that would impose new requirements on insurers that use AI to make prior authorization decisions, including a mandate that any decision to deny a request must be made by a physician or other qualified…
Geisinger Health Plan has named Jeremy Gaskill as its new president and executive vice president of insurance operations for the Danville, Pa.-based health system. Mr. Gaskill previously spent more than two decades at Humana, where he most recently served as…
Oakland, Calif.-based Kaiser Permanente is suing nine liability insurers for breach of contract, alleging they have refused to cover any portion of its $556 million settlement with the federal government resolving False Claims Act allegations tied to Medicare Advantage billing…
Editor’s note: The bill was held without a committee vote on Feb. 23. It is not expected to advance this session. Original article: Arizona providers could face license suspension or revocation for submitting too high of payment offers during No…
A federal appeals court has handed a win to Cigna, affirming the dismissal of a class action lawsuit that alleged the insurer’s exclusion of weight loss drug coverage amounted to disability discrimination against members with obesity. The U.S. Court of…