Texas lawmakers have introduced legislation that would allow employers to offer health coverage that does not include certain state-mandated health benefits, such as childhood vaccines, hearing screenings, cancer screenings, mental health coverage and diabetes services. The bill was introduced March…
Author: Jakob Emerson
Massachusetts officials are preparing a plan in case Commonwealth Care Alliance shuts down due to financial issues, the Boston Globe reported March 19. Boston-based CCA has about 50,000 members and predominantly serves individuals dually eligible for Medicare and Medicaid. The…
The Trump administration has proposed a shortening of the ACA enrollment period and the implementation of eligibility verification checks under fully subsidized plans each year. Enrollment in the ACA marketplace reached a record high of 23.6 million in 2025, spurred…
The first grand opening of a CenterWell Senior Primary Care clinic located next to a Walmart will take place March 26 in Gladstone, Missouri. The new clinic officially opened and began accepting new patients in late 2024, according to a…
Hawaii lawmakers have introduced legislation that seeks to address growing provider concerns around the prior authorization process. The bill would require insurers to report data related to prior authorization to the state and would introduce specific timelines for the approval…
Advertisement
North Carolina lawmakers introduced legislation March 18 aimed at reforming the approval process for prior authorizations. The bill would require payers to notify physicians within a specific timeframe if the medical necessity of a service is being questioned. It would…
An Ohio jury awarded Medical Mutual of Ohio over $50 million in damages on March 12 after the payer prevailed in its lawsuit against FrontPath Health Coalition and HealthScope Benefits, a subsidiary of UnitedHealthcare. FrontPath offers employee benefits solutions, and…
California has reached a $1.3 million settlement with Sedera and Sedera Medical Cost Sharing Community to resolve allegations that they advertised and sold "sham" health insurance plans to more than 2,000 people.
JPMorgan Chase is the latest large corporation to face a lawsuit from employees alleging mismanagement of its employee prescription drug benefits plan, which is administered by CVS Health.
Idaho lawmakers have passed legislation aimed at transitioning the state’s Medicaid program to a managed care system while introducing work requirements for able-bodied adults and providing tax credits to help individuals purchase coverage on the state’s ACA exchange.