Humana has agreed to sell “all or substantially all” of its minority interest in hospice and palliative care provider Gentiva to a group of investors in a deal valued at $900 million. The transaction, announced June 10, closes out Humana’s…
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Elevance Health is suing a former senior executive, alleging he violated a noncompete agreement when he joined Medicare Advantage insurer Alignment Healthcare weeks after resigning. The complaint was filed June 5 in an Indiana federal court and names Shane Hochradel,…
Optum is laying off 98 people in Moline, Ill., as it closes a mail-order pharmacy facility, according to regulatory documents filed June 5. The notice names Optum Services as the employer and lists the cuts under a plant closure at…
Stellarus, a health technology company spun out of Blue Shield of California, is positioning a recently launched data platform as a way for regional and nonprofit insurers to narrow the technology gap with national carriers without giving up what makes…
CalOptima Health — a managed care health plan focused on covering low-income populations in Orange County, Calif. — has allocated close to $1 billion to provider rate increases since 2024. The board of directors approved $429.6 million from reserves to…
The American Psychiatric Association and American Psychological Association Services sent a joint letter to Aetna on June 4 urging the insurer to halt reimbursement rate reductions for behavioral health services delivered through Alma-affiliated clinicians. Alma is a platform that connects mental health professionals with…
Hospitals are under pressure to deliver measurable gains in outcomes, patient trust and financial performance. Most organizations have pockets of excellence, but few convert those wins into reliable, systemwide results. In this session, two Mayo Clinic leaders will share how…
Presented by:
- Pablo Moreno Franco, M.D.
- Jennifer Cowart, M.D.
ACA sign-ups during the open enrollment period for 2026 were down 5% year over year, the most substantial dip since marketplaces launched in 2014 — but that’s not even the full story. The Commonwealth Fund reviewed CMS and state marketplace…
A chief pharmacy officer sits down with the CFO. Three positions have been open for months. Backlogs are growing. The implicit question: would adding staff actually fix this? For four pharmacy leaders at Ochsner Health, St. Luke’s Health System, MetroHealth…
Presented by:
The House Appropriations Committee moved forward with an amendment that would block funding for a CMS pilot that brings prior authorization requirements to traditional Medicare. The lawmakers adopted the amendment by voice vote June 9 during their 2027 spending bill markup. Under the…
