Health Care Service Corporation has launched its national HealthSpring brand following the company’s acquisition of Cigna’s Medicare business. In March, HCSC purchased Cigna’s Medicare Advantage, Part D and supplemental benefits businesses, along with a value-based care management subsidiary, for $3.3…
Author: Jakob Emerson
Last week, a coalition of more than 50 major health insurers signed a pledge at a Washington, D.C. summit to “simplify” prior authorization. Led by Secretary Robert F. Kennedy Jr. and Centers for Medicare and Medicaid Services (CMS) Administrator Dr.…
President Donald Trump has signed the “One Big Beautiful Bill Act,” which includes major spending and policy changes for the Medicaid program and ACA markets. Jarrod McNaughton, CEO of Inland Empire Health Plan, wrote on LinkedIn on July 3 that…
On July 4, President Donald Trump signed the “One Big Beautiful Bill Act,” which includes major changes for employee benefits. Six notes: 1. Starting January 1, individuals enrolled in bronze and catastrophic ACA plans will be eligible to contribute to…
Florida Blue and Fort Lauderdale-based Broward Health went out of network on July 1. The network split impacts all Broward hospitals and physicians for Florida Blue’s commercial, ACA and Medicare Advantage members. Florida Blue notified around 18,000 people about the…
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Chorus Community Health Plans, the insurance arm of Milwaukee-based Children’s Wisconsin, will not offer individual and family ACA plans past 2025. In a June 26 letter to providers, the insurer’s president, Mark Rakowski, cited significant increases in medical and pharmaceutical…
The health insurance industry is facing a major downturn, driven by escalating issues in the Medicaid and ACA markets, as well as growing scrutiny of prior authorizations and pharmacy benefit managers, according to J. Mario Molina, MD, former CEO of…
Nevada Gov. Joe Lombardo and the Nevada Department of Health and Human Services have announced the launch of the Nevada Health Authority, effective July 1. The NVHA consolidates the state’s Medicaid program, ACA exchange, and public employees’ benefits program under…
Elevance Health has agreed to a $12.9 million settlement to resolve a class action lawsuit that accused the company of improperly denying coverage for residential treatment of mental health and substance use disorders. The lawsuit was originally filed in April…
Ohio ended GLP-1 coverage for weight loss under its state employee health plan on July 1. Any current prior authorizations for medications will be honored until they expire, and GLP-1 medications prescribed for diabetes will continue to be covered. Several…