Centene has created two group president roles, according to an April 6 news release. Daniel Finke will join Centene as group president of markets and commercial, and Michael Carson, CEO of Wellcare — Centene’s Medicare business — is becoming group…
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The Blue Cross Blue Shield Association submitted a wide-ranging letter to CMS on March 30 in response to the agency’s information request on its Comprehensive Regulations to Uncover Suspicious Healthcare, or CRUSH, initiative. Seven BCBSA recommendations: 1. CMS should notify…
Rockville Centre, N.Y.-based Catholic Health is going out of network with Healthfirst, effective May 15, the health system and the insurer confirmed to Becker’s. The previous agreement ended March 15. The organizations are currently in a two-month “cooling off period,”…
CVS Health President and CEO David Joyner earned $21.2 million in total compensation in 2025, according to the company’s annual proxy statement filed April 3. CVS’ highest-paid executives in 2025: 1. David Joyner, president and CEOSalary: $1,500,000Stock awards: $14,499,931Non-equity incentive…
CommonSpirit Health’s Tennessee and Georgia facilities (formerly CHI Memorial), is back in network with Cigna Healthcare, according to an insurer statement shared with Becker’s April 3. “We have reached an agreement that will keep CommonSpirit in our network. We look…
The Congressional Budget Office estimated the CMS Innovation Center spent $7.9 billion from 2011 through 2020, a March 27 report from the Government Accountability Office said. While some models have been expanded beyond testing, the Innovation Center has seen mixed…
From several mergers in the managed care space to Kaiser’s entry into Nevada, these are seven payer industry M&A updates previously reported by Becker’s. 1. Carolina Complete Health and WellCare of North Carolina, both Centene subsidiaries, secured regulatory approval in…
From 2012 to 2021, savings across Medicare are estimated to have been $111 billion compared to if Medicare Advantage penetration held at 2011 levels, according to an Elevance Public Policy Institute study published March 23 in INQUIRY: The Journal of…
Payers are now required to publicly post certain prior authorization metrics, but an initial look at the first set of data offers “little insight into what gets approved or denied, according to an April 2 analysis from KFF. Five things…
A federal judge is allowing most claims to move forward in a proposed class action lawsuit accusing Carelon Behavioral Health of maintaining an inaccurate and misleading directory of in-network mental health providers for New York state employees. Carelon, the health…