Author: Rylee Wilson

Cigna will offer plans on the ACA Marketplace in 11 Texas counties for 2023, the payer said Oct. 12. 

Excellus BlueCross BlueShield will offer a Medicare Advantage plan tailored to veterans in 2023, the Rochester, N.Y.-based payer said Oct. 14. 

CMS will release 90 audits of Medicare Advantage plans accused of overcharging the government in response to a lawsuit from Kaiser Health News, the outlet said Oct. 14. 

Valley Health has filed a lawsuit against Anthem Health Plans of Virginia, alleging the payer owes the Winchester, Va.-based health system $11.4 million in past-due reimbursements, according to a statement and court documents Valley Health shared with Becker's.

Most state and city-level drug markets are highly-concentrated, with one pharmacy benefit manager controlling a large share of the market, a new report from the American Medical Association found. 

Aetna is launching a new plan in the Atlanta area integrating more benefits from parent company CVS Health, Aetna said Oct. 13. 

Aetna, Centene, Cigna and Elevance Health saw their median Medicare Advantage star ratings for 2023 go down, while Humana and UnitedHealthcare maintained their averages from 2022. 

Mental telehealth provider Cyti Psychological is now in-network for Aetna members in California and Oregon, the provider said Oct. 12. 

UPMC Health Plan and value-based kidney care provider InterWell Health are partnering on care coordination for members with kidney disease, InterWell said Oct. 12. 

Toledo, Ohio-based ProMedica and McLaren St. Luke's hospital reached a settlement in a contract dispute, meaning the hospital will treat ProMedica's Paramount Health Plan members in-network, McLaren said Oct. 11.