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. AdventHealth, based in Altamonte Springs, Fla., seeks a senior managed care network manager…
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Six insurers received HealthChoice Illinois contracts, totaling $431 billion across the initial and renewal terms. HealthChoice Illinois is the state’s managed Medicaid program. A June 8 document from the Illinois Chief Procurement Office for General Services shows five plans available…
Blue Shield of California is laying off 69 employees, effective July 28. The insurer filed Worker Adjustment and Retraining Notification Act notices May 29. The layoffs span Alameda, El Dorado, Los Angeles, San Diego, San Joaquin and Shasta counties. The…
Health system operating margins fell to 0.2% in April, edging back toward zero after a brief two-month recovery. A new report shows just how fragile hospital finances remain heading into the second half of 2026. Drawing on data from more…
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Medicare Advantage continued to grow in 2026, but at a slower pace than prior years, as enrollment shifts among major insurers and a surge in special needs plans reshaped the program’s makeup, according to a KFF analysis published June 5.…
The Elevance Health Public Policy Institute found no association between county-level uptake of take-home methadone — used to treat opioid use disorder — and differences in drug overdose rates and behavioral health- or OUD-related emergency department visits. Published May 25…
Several hospital-insurer contracts are approaching network breaks by the end of June without new agreements in place, spanning multiple states and major insurers. Seven hospital-insurer contract talks to watch: 1. Cigna and Oakland-based University of California Health hospitals, facilities and…
Michael Cole has been named executive vice president at Norfolk, Va.-based Sentara Health and president of the health system’s insurance division, effective June 15. He most recently served as president and CEO of Regence BlueCross BlueShield of Oregon and Regence…
The North Carolina State Health Plan will raise out-of-pocket costs and copays for its Medicare Advantage offering in 2027. The board of trustees voted on the changes June 5. The medical out-of-pocket maximum will increase from $4,000 to $4,500 for…
Chicago-based GoHealth has filed for Chapter 11 bankruptcy as part of a prepackaged restructuring plan supported by its lenders and major equity holders. Five things to know: 1. GoHealth, a health insurance marketplace and Medicare-focused digital health company, said the…