Author: Jakob Emerson

Medicaid Health Plans of America has named Corey Pleasants as its first director of state affairs.

Clover Health CEO Andrew Toy told investors Nov. 7 that the company is reducing its participation in CMS' ACO Reach model by two-thirds.

Oscar Health CFO Scott Blackley will become the company's chief transformation officer Dec. 1, and former CFO, Sid Sankaran, will temporarily fill the role again as the company searches for a permanent fit.

The nation's largest payers have filed their third-quarter earnings reports, revealing which grew their profits the most year over year.

Amazon's online pharmacy is continuing to attract the attention of payers across the country.

New Jersey's police union is pressing state officials to divulge whether Horizon Blue Cross Blue Shield of New Jersey will face financial penalties following 20% higher premiums among some public employees, Bloomberg reported Nov. 8.

Blue Cross and Blue Shield of North Carolina has named Marcus Wallace, MD, as chief medical officer and vice president of clinical operations and innovation.

Regence BlueCross BlueShield of Oregon has named Mary Anne Cooper as director of government affairs.

Marcus Robinson is the senior vice president of individual and family plans at UnitedHealthcare. He sat down with Becker's to discuss the company's major expansion of Affordable Care Act plans in 2023 and how the rollout plays into the payer's…

MHS Health Wisconsin has named Titus Muzi Jr. as president and CEO.