Author: Jakob Emerson

Friday Health Plans will not offer coverage on the ACA marketplaces in Texas and New Mexico for 2023, The Alamosa Valley Courier reported Nov. 4.

CVS Health executives told investors Nov. 2 the company is expecting a $2 billion decline in 2024 revenues because of its lower Medicare Advantage star ratings in 2023 and the loss of its pharmacy benefits contract with Centene.

Cigna's CEO David Cordani addressed questions from investors Nov. 3 over concerns the company is falling behind other insurers by not pursuing major mergers or acquisitions. 

Alameda Alliance for Health CEO Scott Coffin is retiring, effective May 31, 2023.

Cigna is spending $200 million to integrate Express Scripts as Centene's new pharmacy benefit manager for 20 million members starting in 2024.

Darrell Gray II, MD, is the inaugural chief health equity officer at Elevance Health, where he's now spent just over one year leading a company-wide strategy to advance health equity for 45 million members.

L.A. Care Health Plan, the nation's largest publicly operated plan, has named Sameer Amin, MD, as its next chief medical officer, effective Dec. 5.

With most healthcare organizations having now released their third quarter earnings, the gap between provider and payer profits continues to widen.

Cigna raised its annual earnings outlook and reported a 70 percent boost in third quarter profits compared to the same period last year, according to the company's earnings report published Nov. 3.

Though Medicare Advantage was designed to help lower federal healthcare expenditures, recent reporting from The New York Times has thrust allegations of payers defrauding the government through the program back into the limelight.