Health Care Service Corp. and Elevance Health are vying for Cigna's Medicare Advantage business, Bloomberg reported Dec. 15.
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Providence Health Plan has named a chief administrative officer, chief growth officer and chief healthcare experience and equity officer.
Kraft Heinz has voluntarily dismissed a lawsuit against Aetna alleging the payer breached its fiduciary duties and used its role as third-party claims administrator for Kraft's employee health plan "to enrich itself" to the food manufacturer's detriment.
CMS will implement new risk adjustment payment rates, prior authorization requirements and network standards for Medicare Advantage plans in 2024.
Blue Cross and Blue Shield of Louisiana and Elevance Health have submitted a new proposal to the Louisiana Department of Insurance to allow the nonprofit insurer to be bought by Elevance, nola.com reported Dec. 15.
Almost three-quarters of the nation's local Medicare Advantage markets are highly concentrated, according to the American Medical Association.
Artificial intelligence is nothing new in the world of health insurance, but the speed and scale of its implementation across the industry are ramping up.
Elevance Health's managed Medicaid plans in 21 states have been recognized by the NCQA for their advanced health equity efforts.
Cambia Health Solutions has named a chief commercial officer, a president and CEO of its TPA subsidiary, and promoted its CIO to executive vice president, effective Jan. 1.
Almost half of the nation's local commercial insurance markets are majority controlled by one payer, according to the American Medical Association.