Blue Cross Blue Shield licensee Hawaii Medical Service Association and Honolulu-based Hawaii Pacific Health are coming together under a new nonprofit parent organization, One Health Hawaii, the organizations confirmed in a Jan. 7 news conference recorded by Hawaii News Now.…
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Senators Elizabeth Warren, D-Mass., and Ron Wyden, D-Ore., are expanding their probe into UnitedHealth Group’s nursing home programs after the company provided what they said is an insufficient response to their initial inquiry, along with new allegations of resident deaths.…
House Republicans have asked the leaders of some of the nation’s largest health insurers to testify before Congress at the end of January as scrutiny intensifies over rising healthcare costs and industry profits. On Jan. 22, the CEOs of UnitedHealth…
A team of Stanford (Calif.) University researchers specializing in health law, AI, ethics and medicine identified “risks of supercharged flaws” in harnessing AI for prior authorization in a Jan. 6 Health Affairs report. Prior authorization is a longstanding sore spot…
Today’s group health market is defined by complexity: rising costs, changing risk profiles and heightened expectations from brokers and employers alike. Carriers need more than standalone risk scores; they need complete visibility and control. But too many are stuck with…
Presented by:
- Andrew Martin, Head of Underwriting, BlueCross NC
- Jake Evans, MBA CEBS, Group Health Consultant, Gradient AI
- Vince DiBenedetto, Chief Executive Officer, The Provant Group
Highmark now covers all diagnostic breast studies and breast MRIs at 100% without copays or deductibles for members of its Blue Cross Blue Shield plans in Pennsylvania, New York, West Virginia and Delaware. The policy was effective Jan. 1 and…
The No Surprises Act’s independent dispute resolution process continues to be a source of controversy and litigation nationally more than three years after its implementation, with insurers and providers suing over alleged abuse of the arbitration system. The disputes come…
About 20% of Nevadans who actively selected a health plan through the state’s marketplace, Nevada Health Link, picked a new public option, Nevada Health Authority Director Stacie Weeks told lawmakers Jan. 6. In 2025, Nevada secured federal approval for its…
Insurer Fallon Health will join Somerville-based Mass General Brigham Health Plan, according to a Jan. 8 joint statement. “This reflects the outcome of Fallon Health’s thoughtful and intentional process to identify a long-term partner aligned with its mission and strategic…
If you work in the Talent or HR department at your organization, you know how important benefits plan design is for retaining and attracting talent. A recent survey found that employees who are satisfied with their benefits are 1.8x more…
