Three states that offer health coverage to undocumented immigrants are sunsetting or limiting those benefits. House Republicans’ proposed budget reconciliation package also includes provisions to penalize states financially if they provide Medicaid benefits to noncitizen residents by reducing their ACA…
Author: Jakob Emerson
UnitedHealthcare and Providence, R.I.-based Brown University Health have mutually agreed to go out of network on July 1 for Medicare Advantage plans. Brown’s hospitals in Rhode Island will be out of network for UnitedHealth’s MA plans, including D-SNP and group…
HHS officials ordered CMS to provide the personal data of Medicaid enrollees to the Department of Homeland Security in June, according to an exclusive report from the Associated Press. The shared data includes the immigration status of Medicaid enrollees in…
Chapel Hill-based UNC Health has filed lawsuits against Aetna and Humana, alleging both insurers underpaid for 340B drug claims in violation of their contractual agreements. The lawsuits, filed June 10 in a North Carolina federal court, claim the payers improperly…
Humana is taking proactive steps to address burnout and improve engagement for its thousands of employed or affiliated clinicians by focusing on well-being, reducing turnover, and tackling frustrations related to technology and administrative processes, according to the company’s Chief Medical…
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UnitedHealth Group and Optum have settled a lawsuit filed by two former employees who had alleged that the company violated state and federal employee notification laws during mass layoffs in August 2023. The lawsuit, filed in the District Court for…
Blue Shield of California and University of California Health hospitals, clinics and physicians across six academic health centers will go out of network on July 10 without a new contract in place. The network split would affect commercial, ACA, Medicare…
Medicare Advantage members are most likely to disenroll from their health plan because of four main reasons: difficulty accessing care, low plan generosity, dissatisfaction with care quality, and the type of plan (HMO vs. PPO), according to a June study…
Blue Shield of California is partnering with healthcare booking platform Zocdoc to allow members to schedule in-network, in-person and virtual appointments directly on the health plan’s online portal. The partnership is the first time that Zocdoc has worked with a…
AmeriHealth Caritas reported a net loss of $199 million in 2024, the Philadelphia Inquirer reported June 11. AmeriHealth Caritas serves Medicaid enrollees and is jointly owned by Independence Health Group and Blue Cross Blue Shield of Michigan. The company reported…