Most company presidents and CEOs spend a majority of their time behind a desk in the office leading meetings or managing their teams. Matt Gerrell, president of Brevard County-based Health First Health Plans spends a lot of his time meeting…
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On average, insurers pay 4.7% higher commercial prices to hospitals that are a part of their Medicare Advantage networks compared to those not in network, according to a study published May 8 in Health Services Research. The study analyzed 5,654…
UnitedHealthcare has agreed to pay more than $9 million to settle a class-action lawsuit alleging that the insurer wrongfully denied coverage for proton beam therapy, a type of specialized cancer treatment. According to court documents filed May 9, the insurer…
Centivo has named Sarah Fraser as its CFO. Centivo is a health plan administrator for self-insured employers. Ms. Fraser will lead the company’s capital markets strategy and oversee financial performance across customer segments, product lines and markets, according to a…
Health plans are backing a proposal from Connecticut Gov. Ned Lamont to cap the rates hospitals can charge for out-of-network services, the CT Mirror reported May 9. The measure would bar providers from charging more than 240% of Medicare rates…
Contract disputes between insurers and health systems are down in 2025 compared to the second half of 2024. According to data from FTI Consulting, there were 133 total disputes in 2024, compared to 86 in 2023 and 51 in 2022.…
HHS will not enforce mental health parity regulations opposed by some large employers and insurers. In a May 9 court filing, attorneys for HHS said the department intends to reconsider the rules and may issue a proposed rule rescinding or…
Medicare Advantage insurers and brokers are facing a sweeping lawsuit from the Justice Department, and rising costs continue to hurt payers’ finances. Here are eight Medicare Advantage updates to know:
Portland, Ore.-based Providence Health Plan, a division of Renton, Wash.-based Providence, has laid off about 4% of its workforce due to “strong financial headwinds and challenges” over the last year, a spokesperson for the organization told Becker’s. The 4% reduction translates…
Blue Cross Blue Shield of Vermont is taking steps to shore up its finances in the face of unprecedented challenges, VTDigger reported May 7. In July 2024, BCBS Vermont said it was in a “fragile financial state,” in the face…