Author: Jakob Emerson

Neighborhood Health Plan of Rhode Island has named Karen Carlson COO and Melissa Husband as chief of staff, Providence Business News reported July 17.

AIDS Healthcare Foundation filed a lawsuit July 12 in St. Louis federal court against Cigna subsidiary Express Scripts for allegedly manipulating Medicare star ratings against pharmacies to "claw back" Medicare benefits at the expense of AHF patients.

Clover Health plans to offer Medicare Advantage plans in 13 new counties across Georgia, South Carolina and Tennessee in 2023, pending CMS approval.

Empire BlueCross BlueShield has reversed its decision to not cover a multiorgan transplant for a New York City man suffering from a rare appendix cancer following conversations with the Cleveland Clinic, according to WABC. 

UnitedHealth Group saw double-digit revenue growth over the last three months driven by continued member growth under UnitedHealthcare and value-based arrangements at Optum Health, according to the company's second quarter 2022 earnings report released July 15.

Las Vegas-based Fremont Emergency Services, a subsidiary of TeamHealth, filed a lawsuit July 13 against UnitedHealthcare in a Las Vegas federal court, where it is seeking a permanent injunction against the payer's downcoding policy.

Point32Health and its companies, including Harvard Pilgrim Health Care and Tufts Health Plan, have added a travel benefit for members and employees to support access to reproductive and gender-affirming care for individuals that live in states where those services are…

Blue Cross and Blue Shield of North Carolina has named Kelly Calabria as senior vice president, chief marketing and corporate social responsibility officer, effective Aug. 15.

After a pandemic exposed inefficiencies the healthcare system has faced for decades, the trend toward value-based payment models for in-home care and accounting for social determinants of health is more important than ever, according to Eric Galvin.

A suburban Chicago physician is facing up to 10 years in federal prison after being charged July 12 with one count of healthcare fraud against Blue Cross Blue Shield of Illinois and Medicare.