A federal judge in Washington state ruled in favor of Elevance Health in a case involving a former executive who was accused of violating a relationship policy and was terminated, according to an Oct. 3 order granting a motion for…
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Caroline Goldzweig, MD, and Betsy Seaton joined the board of directors for Premera — parent company of Premera Blue Cross — according to an Oct. 6 news release. Dr. Goldzweig is the vice president and chief medical officer for the…
Technician turnover is above 30%, labor costs are rising, and prescription volumes are projected to grow 10–12% by 2028. Traditional, manual pharmacy models simply can’t keep up. One pharmacy needed 862 FTEs to process 75,000 daily prescriptions manually. With automation?…
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UnitedHealthcare’s Mid-Atlantic CEO Joseph Ochipinti called out two healthcare groups for their “cynical” contract negotiation strategy in an Oct. 6 statement. Mr. Ochipinti specifically drew attention to Baltimore-based Johns Hopkins Medicine and Fulton, Md.-based Capital Women’s Care, a large mid-Atlantic…
Sentara Health Plans will not offer Medicare Advantage, MA prescription drug HMO, or C-SNP plans in Virginia, North Carolina and Florida in 2026. “These products are no longer financially sustainable in the current environment. Industry-wide headwinds and market dynamics, including…
Durham, N.C.-based Duke Health will stay in network with CVS Health’s Aetna, according to an Oct. 3 statement on the university system’s website. The agreement allows Aetna’s commercial and Medicare Advantage members to access all Duke Health locations and providers.…
A shareholder of UnitedHealth Group has put forward a proposal calling for the appointment of an independent chairperson for the company’s board that is separate from the CEO position, Bloomberg reported Oct. 3. Earlier this year, UnitedHealth named its board…
As many major insurers scale back on Medicare Advantage, some players are exiting the market entirely. Here’s a look at the insurers that are fully backing out: Editor’s note: This is not an exhaustive list. It will continue to be…
Ochsner Health Plan will no longer offer Medicare Advantage plans in 2026. The insurer, part of Jefferson, La.-based Oschner Health, has around 6,000 total MA members, per CMS enrollment data. The majority of members are enrolled in an HMO plan,…
Louisville, Ky.-based Norton Healthcare and Norton Children’s will stay in network with Cigna Healthcare, according to an Oct. 3 statement on the health system’s website. The partnership was originally scheduled to terminate on Sept. 8, but Norton and Cigna discussed…