Indiana lawmakers have passed legislation banning health insurers from penalizing hospitals for using out-of-network providers, a direct rebuke of Elevance Health in its home state. The bill received final legislative approval on Feb. 26 and now heads to Gov. Mike…
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Longtime UnitedHealth Group executive Heather Cianfrocco is leaving the company. Ms. Cianfrocco has served as executive vice president of governance, compliance and information security at UnitedHealth since April 2025. She briefly served as CEO of Optum from 2024 to 2025…
Health plan leaders say sustainable growth in today’s market will not come from adding lives alone — it will come from fundamentally rethinking how value is created. Across the industry, executives point to deeper provider alignment, scaled value-based care, smarter…
CMS has suspended new Medicare Advantage enrollment into Aspirus Health Plan, part of Wausau, Wis.-based Aspirus Health, after the insurer’s claims processor was taken over by Minnesota regulators. The intermediate sanction, issued Feb. 24, bars new Medicare beneficiaries from enrolling…
State Medicaid budgets will shrink by $664 billion through 2034 as key provisions of the One Big Beautiful Bill Act (H.R. 1) take effect, with impacts varying by state depending on expansion status, reliance on provider taxes and the use…
On Feb. 25, physician staffing groups filed a federal antitrust lawsuit in California against the BCBS Association and over 30 of its licensees — along with plan owners Elevance Health, Highmark, GuideWell, Cambia Health Solutions and Health Care Service Corp.…
Across healthcare, executives point to critical choices around technology investment, benefit design, care models and financial sustainability as key drivers of long-term success. Many health plan leaders told Becker’s success will depend on moving from incremental improvements to more intentional,…
Elevance Health is shifting management across healthcare services arm Carelon and health benefits, according to a Feb. 26 news release. Mark Kaye, executive vice president and CFO, will oversee Carelon. Peter Haytaian will no longer serve as EVP and president…
BCBS Tennessee COO Scott Pierce voiced concerns over pending state bills — accusing them of eventually “forcing higher prices” — in Feb. 26 op-ed columns published in the Leaf Chronicle and The Tennessean. Mr. Pierce took issue with four state…
How addressing unnecessary device alarms and managing them away from the bedside can help patients heal and nurses focus Hospital noise levels have skyrocketed since the 1960s, turning patient rooms — especially at night — into spaces of fragmented sleep…
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