About 4.6 million people have signed up for health insurance through ACA marketplaces as of Nov. 18.
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UnitedHealthcare and Cigna Healthcare are facing lawsuits from members or their families alleging the organizations use automated data tools to wrongfully deny members' medical claims. The allegations come amid broader ongoing conversations among policymakers around insurers' use of algorithms and…
Concerns about Medicare Advantage denials are on the rise in Washington, Politico reported Nov. 24.
The Blue Cross Blue Shield Association's board of directors has elected CareFirst BlueCross BlueShield President and CEO Brian Pieninck as chair, effective Nov. 15.
Cigna Healthcare has named Hisham Radwan CEO of Cigna Insurance Saudi Arabia as it becomes the first international insurance company authorized to operate through a branch in the country.
UnitedHealth Group has named Shawna Gisch as CEO of Optum Home and Community Care, the company's home-based care division.
West Reading, Pa.-based Tower Health will be out of network for all Cigna Healthcare members starting Jan. 1 following a disagreement over reimbursement rates, the Reading Eagle reported Nov. 24.
As the nation's largest insurers have evolved to become health services organizations capable of providing healthcare and paying for it too, several Blue Cross Blue Shield companies are following suit and becoming providers as well.
Insurers' outlook is stable for 2023, but high Medicare Advantage utilization rates could present challenges, Moody's said in a Nov. 20 report.
Pittsburgh-based UPMC will transfer 6 million patient records from nine EHRs to Epic Systems by mid-2026, a move that will enable its clinicians with better data to improve health equity and quality, according to Johanna Vidal-Phelan, MD.