CareSource has named David Thomas as president of the company’s Ohio market. Mr. Thomas was most recently CEO of markets and Medicaid at Centene, according to a news release shared with Becker’s July 7. He was named CEO of Centene’s…
Author: Rylee Wilson
Tools that allow providers to see prescription cost estimates at the time of prescribing did not have any effect on cost, a study published July 3 in JAMA Network Open found. The cohort study included 2.8 million Medicare Advantage beneficiaries…
S&P Global Ratings is considering downgrading Centene’s credit rating to junk status. In a July 1 news release, the agency cited Centene withdrawing its 2025 earnings guidance as the driver for the potential downgrade. Centene’s Medicare, Medicaid and ACA businesses are…
Total risk adjustment payments in individual and small group insurance plans increased modestly in 2024, according to new data from CMS. The agency published its annual summary report of risk adjustment payments June 18. The risk adjustment program is designed…
UCare will withdraw from 11 counties in Minnesota where it offers Medicaid plans beginning in September through the end of 2025, the company said in a statement shared with Becker’s. The company made the “difficult decision” to withdraw from several…
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CenterWell, Humana’s older adult-focused primary care business, has inked an agreement to acquire The Villages (Fla.) Health. The Villages Health has filed for bankruptcy, according to a July 3 news release. Humana has entered a stalking horse agreement to purchase…
Medicare Advantage insurers are eliminating commission payments for some of their plans, a move that has drawn criticism from broker associations. Insurers typically pay brokers commission payments for enrolling new members, or renewing existing members in Medicare Advantage and Medicare…
BlueCross BlueShield of Tennessee is “winding down operations” at its subsidiary Shared Health, a move that will affect 150 employees. Shared Health provides plans to individuals dually eligible for Medicare and Medicaid in Texas and Mississippi. BCBS Tennessee will wind…
Humana has launched its Medicaid business in Virginia. Virginia Cardinal Care beneficiaries can now select Humana as a Medicaid managed care plan, according to a July 2 news release. The state selected Humana as one of five insurers in 2024…
A Minnesota judge has ruled against UnitedHealthcare in a lawsuit challenging a Minnesota law barring for-profit insurers from the state’s Medicaid program. In a decision issued June 30, Minnesota District Court Judge Mark Ireland ruled the statute, passed as part…