Little Rock, Ark.-based Baptist Health could go out of network with UnitedHealthcare Medicare Advantage plans if the sides are unable to reach an agreement by Dec. 31, Arkansas Money & Politics reported Nov. 30.
The Latest
SelectCare of Texas, a Centene subsidiary, received an estimated $5.1 million in net Medicare Advantage overpayments in 2015 and 2016, according to an audit from HHS' Office of Inspector General published Nov. 27.
30 payers have been ranked by the Human Rights Campaign Foundation for their inclusivity toward lesbian, gay, bisexual, transgender and queer employees.
Centene's Ambetter Health is partnering with health benefits platform Take Command to offer individual coverage health reimbursement arrangements to employers in Indiana starting next year.
North Carolina's Medicaid expansion program began Dec. 1.
Fourteen states gave managed care organizations payments for Medicaid enrollees for months after beneficiaries had died, a series of HHS Office of Inspector General audits found.
Employers will be expecting insurers and vendors to deliver more transparency and ways to cut healthcare spending in 2024, according to the Business Group on Health.
Optum patients who are enrolled in fully accountable Medicare Advantage plans — where Optum takes full financial and clinical responsibility — have better health outcomes than patients enrolled in traditional Medicare, according to UnitedHealthcare CEO Brian Thompson.
The sale of Cigna's Medicare Advantage business would remove one hurdle in the company's reported goal to merge with Humana, and Health Care Service Corp. might be part of that equation, Bloomberg reported Nov. 29.
Highmark Blue Shield has named Ken Lawrence as senior vice president of corporate affairs for southeastern Pennsylvania as the company expands its health plans into the Philadelphia area next year.