Author: Staff

Sunshine State Health Plan, a subsidiary of Centene based in Tampa, Fla., must pay a $9.1 million fine after the deadline to challenge it lapsed, according to WTSP.

Michael Neidorff, the longtime CEO of Centene, has died at the age of 79. 

Thousands of UnitedHealthcare beneficiaries are now out of network at Fort Lauderdale, Fla.-based Broward Health after the two parties failed to reach a new contract by the April 1 deadline. 

UnitedHealth Group and its subsidiary Optum have proposed several acquisitions and partnerships recently, giving a glimpse into its mergers and acquisitions growth strategy. 

Several payer executives stepped down from their positions or retired in 2022. 

Allina Health | Aetna has named its Chief Medical Officer Robert Wieland, MD, its new CEO, effective immediately.  

Pittsburgh-based Highmark Health, the parent organization of Allegheny Health Network and Blue Cross Blue Shield plans in four states, recorded strong financial results in 2021 driven in part by its regional expansion. 

It’s no secret that the HR function has become more complex in recent years. Thanks to policy changes in State Paid Sick Leave, the Affordable Care Act, demands brought forth by the #MeToo movement (among other changes), today HR professionals…

The American Medical Association has engaged a law firm to look into insurer and pharmacy benefit managers' prior authorization policies, which providers argue have become more complicated and burdensome in recent years, according to the American Journal of Managed Care. 

UnitedHealth Group is mounting its defense against the Justice Department's challenge to its proposed $13 billion acquisition of Change Healthcare, arguing the government's case is "flawed."