The Cigna Group reported nearly $6 billion in profits in 2025, according to the company’s fourth quarter earnings report published Feb. 5. Total revenues in the fourth quarter were $72.5 billion, up 10% year over year. Total revenues in 2025…
Author: Jakob Emerson
Optum has launched a pair of AI-driven prior authorization products, one designed to speed up submissions on the provider side and another to accelerate clinical reviews for payers. The provider-facing product, Digital Auth Complete, went live in January in collaboration…
Humana’s former CEO, Bruce Broussard, has been named interim CEO at HP. “I’m really looking forward to working alongside HP’s leadership team and employees. I know this will be a meaningful learning experience for me too, as I have the…
The Blue Cross Blue Shield Association has named five senior leaders to roles spanning technology, policy, operations and communications. 1. Mouli Venkatesan, chief information and technology officer. Mr. Venkatesan will oversee BCBSA’s IT infrastructure, technology modernization and AI deployment. He…
CommonSpirit Health’s Tennessee and Georgia facilities (formerly CHI Memorial), went out of network with Cigna Healthcare on Feb. 1. The network split affects individuals covered by Cigna’s commercial Open Access Plus PPO and its narrower-network Local Plus plan. The affected…
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Aetna has named COO Katerina Guerraz as president of its Medicaid division. She will continue serving as chief operating officer. “This expanded responsibility is an opportunity to further strengthen our mission by deepening our focus on serving Medicaid members –…
Elevance Health is suing four former executives of its Puerto Rico subsidiary, alleging they violated noncompete agreements by leaving for rival insurer Triple-S Salud. The complaint, filed Jan. 29 in an Indiana federal court, claims the former executives broke the…
Cancer survivors enrolled in high-deductible health plans had significantly worse overall and cancer-specific survival than those in standard health plans, according to a study published Jan. 29 in JAMA Network Open. The researchers analyzed data from 147,254 adults ages 18…
Prior authorization ranks as the single biggest burden insured Americans face when navigating the healthcare system, according to a KFF Health Tracking Poll published Feb. 2. The poll was conducted Jan. 13-20 among 1,426 U.S. adults. Five things to know:
Medicare Advantage insurers will likely continue to scale back supplemental benefits and exit certain markets if CMS finalizes its proposed 0.09% payment increase for 2027, according to a Jan. 30 analysis from Fitch Ratings. “Depending on finalized payment rate and…