Blue Cross Blue Shield of Minnesota will offer access to specialty behavioral care through partnerships with Equip and Pelago. Equip provides fully virtual care for eating disorders, according to a May 22 news release. Pelago offers virtual treatment for opioid…
Author: Rylee Wilson
The trade group representing insurers is warning budget legislation could lead to ‘unprecedented’ coverage losses. In a May 22 statement, AHIP President Mike Tuffin said that proposed budget legislation would increase uninsured rates and could raise premiums in the individual…
Urbana, Ill.-based Carle Health will shut down its insurance businesses at the end of 2025. In a statement shared with Becker’s on May 22, Carle Health said Health Alliance and FirstCarolinaCare will exit all lines of business, including Medicare Advantage,…
Aetna Better Health of Illinois paid $20.4 million in value-based incentive payments to 16 community health centers. The funding is intended to improve quality of care in underserved communities, according to a May 20 news release. Three things to know: …
CMS will audit every Medicare Advantage plan for potential overpayments annually, in what the agency called an “aggressive” plan to step up oversight. According to a May 21 news release, the agency plans to audit each of the more than…
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Florida would see the largest increase in its uninsured population if ACA premium tax credits are not extended, and Medicaid work requirements and other changes are implemented, according to KFF. Lawmakers are considering a reconciliation package that would implement Medicaid…
Evernorth, the Cigna Group’s health services arm, will cap out-of-pocket costs for Zepbound and Wegovy, two GLP-1 drugs, at $200. Members can save up to $3,600 a year compared to purchasing the drugs directly or through consumer programs, according to…
AI, digital health and value-based care are among the biggest buzzwords in healthcare — and might be overhyped, according to these payer executives. Becker’s connected with 11 leaders to learn what’s overhyped in healthcare. Like what you see here? Join…
CMS cannot track whether states are repaying the federal government the correct share of funds Medicaid managed care plans do not spend on beneficiary care, according to an audit HHS Office of Inspector General published May 16. Many states require…
UnitedHealth Group is asking shareholders to support a $60 million stock option award for its new CEO. In a May 20 letter to shareholders, Christopher Zaetta, UnitedHealth’s chief legal officer, urged shareholders to approve the company’s executive compensation. Institutional Shareholder…