Arizona is the latest state looking to implement Medicaid work requirements.
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The Future Must Be Less Wasteful, More Collaborative Misaligned policies, medical necessity screening tools, and incomplete clinical data are chief contributors to rising claims denial rates. They’re a challenge that costs hospitals and health systems nearly $20 billion per year,…
CareFirst Blue Cross Blue Shield is aiming to make generational investments with generational returns, according to CEO Brian Pieninck.
Intellectual curiosity and a willingness to draw from other industries are key traits for healthcare CEOs, according to Independence Health Group CEO Gregory Deavens.
Jefferson Health Plans has named Krista Hoglund as its next president, effective March 10.
Cigna Healthcare has named Paul Virtell president of its supplemental health business.
Humana plans to open between 20 and 30 primary care clinics in 2025.
Seventeen HCA hospitals in Florida are suing UnitedHealthcare for allegedly underpaying for emergency care provided to its ACA members.
The president of an insurance brokerage firm and the CEO of a marketing company have been charged for their alleged roles in a scheme to submit fraudulent enrollments for fully subsidized ACA plans in order to obtain millions of dollars…
Payers are focused on leveling up their use of AI and improving members' health outcomes in 2025.