Author: Rylee Wilson

The lead defendant in a 15-defendant healthcare fraud scheme will serve over eight years in prison for conspiring to defraud Blue Cross Blue Shield. 

A group of U.S. senators and representatives are introducing legislation to provide Medicaid enrollees with a year of continuous coverage. 

A group of senators says CMS actions to crack down on misleading marketing of Medicare Advantage plans do not go far enough. 

Cambia Health Solutions has named William Krenz as senior vice president of government programs. 

Molina Healthcare is promoting two senior leaders to run its flagship Medicaid business, CEO Joe Zubretsky said on an Oct. 26 investor call. 

Over half of U.S. adults say their healthcare costs are difficult to afford, including 43% of those with employer-sponsored insurance, a Commonwealth Fund survey published Oct. 26 found. 

Georgia is seeking bids from payers to manage the state's Medicaid program. 

Kate Goodrich, MD, chief medical officer of Humana, is leading a companywide initiative to improve members' health literacy. 

A federal judge upheld a $2.7 billion settlement agreement resolving allegations Blue Cross Blue Shield Association members engaged in anti-competitive actions to drive up costs. 

The proportion of people with employer-sponsored insurance enrolled in high-deductible health plans is similar to five years ago, according to KFF's employer health benefits survey published Oct. 18.