Coventry Health and Life Insurance Co., an Aetna subsidiary, received an estimated $6.9 million in Medicare Advantage overpayments, an audit published by HHS’ Office of Inspector General June 5 found. The government watchdog reviewed a sample of diagnosis codes Coventry…
Author: Rylee Wilson
Long Beach, Calif.-based Molina Healthcare will lay off 268 employees in Virginia, according to a WARN notice filed May 13. The company is closing its Richmond, Va., office effective June 30. The layoffs come after Virginia decided not to renew…
Blue Cross Blue Shield of Minnesota and Blue Cross Blue Shield of North Dakota are the first two insurers to earn URAC’s Mental Health/Substance Use Disorder Parity Accreditation. The certification is the only program of its kind in the U.S.,…
The gaps between the highest and lowest rated commercial health plans for customer satisfaction are growing, according to J.D. Power’s U.S. Commercial Member Health Plan Study. J.D. Power published its annual ranking of the top commercial health plan in each…
States that extend Medicaid coverage to individuals without legal status will receive fewer federal Medicaid dollars if budget legislation passed by the House of Representatives is finalized, according to KFF. The legislation would reduce federal Medicaid funding matches to 80%…
Advertisement
Anthem Blue Cross of California has expanded its behavioral health network by 10,000 providers in the past two years. The insurer has grown its behavioral health offerings by 90% since 2020, according to a May 27 news release shared with…
Humana has named Douglas Edwards as president of Humana Military. Mr. Edwards has nearly 10 years of leadership experience at Humana, according to a May 27 LinkedIn post from Humana. He was most recently senior vice president, enterprise associate and…
Use of the Collaborative Care Model for integrated mental healthcare has risen dramatically across Medicare, Medicaid and the commercial market since 2018, according to a report from consulting firm Milliman. The Collaborative Care Model was developed in the 1990s, but…
CVS Health has grown from a single store to a healthcare giant, operating pharmacies, a major insurer and primary and home care clinics.
CMS is stepping up efforts to audit Medicare Advantage plans, and federal lawmakers are reintroducing legislation aimed at simplifying prior authorization in the program. Here are seven Medicare Advantage updates Becker’s has reported since May 12: