The Justice Department is urging a federal court to allow a decade-old lawsuit against UnitedHealth Group to continue. In documents filed April 2 in the U.S. District Court for the Central District of California, Justice Department attorneys argued that a…
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As the healthcare industry works to address rising costs and the challenge of consistent access to care for all, a recent study highlights the growing recognition from primary care doctors that value-based care models are essential for delivering high-quality, cost-effective care.…
Point32Health, the parent company of Harvard Pilgrim Health Care and Tufts Health Plan, has eliminated 110 positions to “reduce administrative costs as medical and pharmaceutical trends continue to climb to unprecedented levels.” The cuts affect employees at all levels of…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Adventist Health, based in Roseville, Calif., seeks a managed care manager in Glendale,…
Complacency is one thing holding back the growth of the individual coverage health reimbursement arrangement, or ICHRA, market, according to Janet Liang, president of insurance at Oscar Health. Oscar Health has laid out plans to double its membership by 2027.…
Startup Medicare Advantage plans accounted for 1.9% of total MA enrollment in 2025, according to a report from Chartis. This rate represents an increase from 1.6% in 2024 and 0.8% in 2020. Gold Kidney Health Plan, a company offering plans…
Blue Cross Blue Shield of Michigan has named Karen Moran as president of commercial markets. Ms. Moran succeeds Ken Dallafior, who is retiring at the end of 2025, according to an April 2 news release. BCBS Michigan’s commercial division accounts…
Most states are implementing strategies to increase the number of automatic renewals for Medicaid beneficiaries, according to a survey from KFF. The research organization published its annual survey of state Medicaid directors April 1. Every state except Florida responded to…
Nonprofit Medicare Advantage plans added 200,000 members for 2025, according to an analysis from Chartis. The healthcare consulting group published a March 25 report analyzing Medicare Advantage enrollment data from CMS. Non-Blue Cross Blue Shield nonprofit plans accounted for around…
Highmark Health Plan has appointed Kate Musler CFO. Four things to know: 1. Ms. Musler previously served as senior vice president of risk management and provider networks for Highmark Health Plan, where she was responsible for actuarial, underwriting and provider…