Texas lawmakers have introduced legislation that would allow employers to offer health coverage that does not include certain state-mandated health benefits, such as childhood vaccines, hearing screenings, cancer screenings, mental health coverage and diabetes services. The bill was introduced March…
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Highmark Health Plans is growing faster in the Philadelphia market than its executives expected, the Philadelphia Business Journal reported March 21. Pittsburgh-based Highmark expanded to Philadelphia in 2024 and added 70,000 commercial and individual members in the market that year,…
Massachusetts officials are preparing a plan in case Commonwealth Care Alliance shuts down due to financial issues, the Boston Globe reported March 19. Boston-based CCA has about 50,000 members and predominantly serves individuals dually eligible for Medicare and Medicaid. The…
The Trump administration has proposed a shortening of the ACA enrollment period and the implementation of eligibility verification checks under fully subsidized plans each year. Enrollment in the ACA marketplace reached a record high of 23.6 million in 2025, spurred…
The first grand opening of a CenterWell Senior Primary Care clinic located next to a Walmart will take place March 26 in Gladstone, Missouri. The new clinic officially opened and began accepting new patients in late 2024, according to a…
Hawaii lawmakers have introduced legislation that seeks to address growing provider concerns around the prior authorization process. The bill would require insurers to report data related to prior authorization to the state and would introduce specific timelines for the approval…
Aledade and Humana are expanding their ongoing partnership to provide care under a value-based arrangement to Medicare Advantage members at Federally Qualified Health Centers and rural health clinics across 26 states. “This expanded agreement is an important development as it…
The healthcare industry needs to have more conversations about patient experience, AI and preventive care, according to payer executives. Becker’s connected with 25 leaders to learn more about what they say is underdiscussed in healthcare. Like what you see here?…
North Carolina lawmakers introduced legislation March 18 aimed at reforming the approval process for prior authorizations. The bill would require payers to notify physicians within a specific timeframe if the medical necessity of a service is being questioned. It would…
An Ohio jury awarded Medical Mutual of Ohio over $50 million in damages on March 12 after the payer prevailed in its lawsuit against FrontPath Health Coalition and HealthScope Benefits, a subsidiary of UnitedHealthcare. FrontPath offers employee benefits solutions, and…