Author: Rylee Wilson

As year-end deadlines approached, several payers and providers struck new deals to keep patients in-network. 

Some methadone treatment providers are concerned Medicare Advantage prior authorization delays are preventing beneficiaries from receiving necessary treatments in time, Roll Call reported Jan. 4. 

Centene boosted its projected earnings per share for 2024 after scoring more Medicaid managed care contracts in California. 

Wells Fargo analysts downgraded Cigna from "overweight" to "equal weight" rating, favoring the payer's competitors, Seeking Alpha reported Jan. 3. 

Amerigroup Maryland, an Elevance Health subsidiary, has rebranded as Wellpoint Health. 

Medicare Advantage plan Cigna HealthSpring of Tennessee received $5.9 million in overpayments from the federal government in 2016 and 2017, according to an HHS Inspector General's Office audit. 

Regence BlueShield of Washington and Optum-owned Everett (Wash.) Clinic and Polyclinic have reached an agreement to keep 19,000 commercial members in-network. 

California is awarding more payers contracts to manage its Medicaid program, reversing course on contract awards that could have forced two million Medi-Cal members to switch insurance. 

A year after splitting with Blue Cross Blue Shield of Illinois, Springfield (Ill.) Clinic launched its own health plan: Springfield Clinic Advantage. 

Kroger and Prime Therapeutics have agreed to a new contract.