Author: Staff

A recently unsealed whistleblower lawsuit out of Philadelphia accuses Aetna of assigning children under Medicaid to providers who were dead, out of state or did not specialize in pediatrics.

Clover Health boasted a 153 percent jump in revenue in 2021's third quarter, but could convert that growth into positive income, according to its Nov. 8 earnings report. 

Evernorth subsidiary Express Scripts is offering health plans and employers the ability to cover over-the-counter COVID-19 tests.

Anthem is moving to acquire Integra Managed Care, a New York-based, managed long-term care plan.

BlueCross BlueShield of Tennessee selected The University of Tennessee Medical Center and University Physicians' Association to serve as the backbone of Blue Network L as it expands to Knoxville in 2022.

Molina Healthcare announced Nov. 9 that Jack Stephenson will be serving as its New York plan president.

Anthem and Atlanta-based Northside Hospital System are reviewing an in-network contract that affects 400,000 patients, but a deadline is still looming as an agreement has yet to be reached, WSB-TV reported Nov. 8. 

Bright HealthCare is launching new in-home care offerings for some members through a partnership with MedArrive. 

Houston-based Memorial Hermann Health System issued a formal contract termination notice to Blue Cross and Blue Shield of Texas, setting the stage for upcoming contract negotiations. 

Cigna is overhauling its Medicare Advantage approach in Connecticut, complete with an expansion, additional plans and new leadership, the insurer announced Nov. 8.