Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Albany (N.Y.) Med seeks a system payer contracting administrator. 2. Adventist HealthCare, based…
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Many hospitals and health systems scrutinize staffing, service lines, and payer contracts for savings. Fewer look at one of their largest assets: real estate. Provider real estate portfolios often hold untapped value: vacant space, redundant leases, misaligned capital structures, and…
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Eighty-three healthcare organizations, including eight insurers, landed on Time’s list of “America’s Best Companies of 2026.” The July 9 list was created in partnership with Statista to evaluate and rank U.S. companies on employee satisfaction, financial performance and sustainability transparency.…
The Federal Trade Commission reached a settlement with CVS Caremark that requires the pharmacy benefit manager to change its business practices as part of the agency’s antitrust case alleging the PBM inflated insulin list prices through rebate practices. The FTC…
Elevance Health posted nearly $1.5 billion in profit during the second quarter of 2026, down 16% compared to last year. The company raised full-year guidance for diluted and adjusted diluted earnings per share to be at least $20.10 and $27,…
Two more Medicare Advantage insurers are suing CMS over their 2026 star ratings, arguing the agency did not go far enough when it adjusted the ratings following a major court loss to Clover Health earlier this year. SCAN Health Plan…
Catherine Field, senior vice president and Medicare market leader for Humana’s west division, has left the company. In a July 14 LinkedIn post, Ms. Field said she worked at Humana for 15 years, and her last day was June 30.…
The Coalition Against Surprise Medical Billing, which includes AHIP and employer groups as members, rolled out a six-figure ad campaign July 13 against the No Surprises Act Enforcement Act. Rep. Gregory Murphy, MD, R-N.C., introduced the bill July 23, 2025,…
A federal appeals court has ruled against Alignment Healthcare in its challenge to how CMS calculated the company’s 2025 Medicare Advantage star ratings, upholding a lower court’s decision that mostly sided with the agency. The July 14 ruling caps a…
The HHS Office of Inspector General reported a $5.56 billion in savings and recoveries from Oct. 1, 2025, through March 31, 2026. OIG released its semiannual report in July. The division focuses on fraud, waste and abuse in government healthcare…