Author: Rylee Wilson

Greenville, S.C.-based Prisma Health is alleging UnitedHealthcare breached its confidentiality agreement with the system in the midst of contract negotiations. 

Cigna is out of network with some of Madera, Calif.-based Valley Children's Healthcare's facilities. 

Elevance Health has faced legal action and hold-ups to proposed acquisitions in August. 

Anthem Blue Cross Blue Shield affiliates in Virginia and Connecticut are rolling out virtual-first health plans for 2024. 

Cincinnati-based Bon Secours Mercy Health is suing Anthem Blue Cross Blue Shield of Virginia for $93 million, alleging the payer owes the health system millions in unpaid claims, according to a lawsuit filed in a Virginia circuit court.

Over a dozen states have excessive wait times for Medicaid call centers or high rates of call abandonment, according to CMS. 

Coverage for newly-approved RSV vaccines varies among insurers, The New York Times reported Aug. 25. 

Pittsburgh-based Highmark Health has named Carl Daley as chief financial officer. 

Cigna Healthcare will exit some ACA markets in 2024 and expand to 15 new counties in North Carolina. 

Managed healthcare and health insurance company Centene signed an agreement to sell Circle Health Group, an operator of 53 U.K. hospitals, for $1.2 billion.