Nashville-based Meharry Medical College has purchased eight medical clinics from a joint venture between BlueCross BlueShield of Tennessee and Sanitas. The clinics, located in Nashville and Memphis, currently serve a total of 25,000 patients and employ 40 providers, according to…
Author: Jakob Emerson
A former Centene executive is suing the company over what he called “wrongful, anti-competitive, and bullying behavior” related to a noncompete agreement. The plaintiff, who served as vice president of pharma relations and business strategy at specialty pharmacy AcariaHealth (acquired…
A federal judge has dismissed a proposed class-action lawsuit that aimed to require insurers in New Mexico to cover medical cannabis as a behavioral health treatment. The complaint was originally filed in June 2022. On April 23, U.S. District Judge…
Centene posted $1.3 billion in net income in the first quarter, per its earnings report published April 25. Total revenues in the first quarter were $46.6 billion, up 15.4% year over year. The company reaffirmed its year-end adjusted EPS guidance…
On April 11, CMS fined three PACE organizations for failing to meet essential program requirements, including inadequate service provision, poor tracking and documentation of services, and failure to ensure recommended services were either provided or properly documented with valid reasons…
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There may be a link between rising insurance premiums and increased utilization of services, particularly across the Medicare Advantage space. In its first quarter earnings report, UnitedHealth Group reduced its year-end earnings outlook amid rising use of physician and outpatient…
Blue Cross Blue Shield of Michigan is reportedly working to sell its AF Group subsidiary, the Insurer reported April 21. AF Group wrote $2.9 billion in direct premiums in 2024 and is the holding company for multiple companies that provide…
Health insurance leaders were paid up to 370 times more than their respective median employee in 2024, according to recently filed proxy statements. Payers ranked by CEO-to-worker pay ratios:
Medica reported an operating loss of $216 million on $6.3 billion of revenue for 2024. The company cited “historic levels of healthcare services utilization,” across all products and geographies. The operating loss includes $40 million for the company’s premium deficiency…
CMS has suspended enrollment for two Medicare Advantage prescription drug plans offered by eternalHealth, a Boston-based insurer. In March, Massachusetts regulators banned eternalHealth from marketing any of its products and services in the state and suspended new member agreements until…