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.
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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.
New research found the number of self-pay patients increased as enrollees lost Medicaid coverage, and Georgia lawmakers are mulling a full expansion of the state's Medicaid program.
The Medicaid improper payment rate significantly decreased from 2022 to 2023, CMS reported Nov. 15.
The Hospital Insurance Trust Fund would be solvent until 2048 if traditional Medicare utilization levels were similar to those under Medicare Advantage, according to research published in October by AHIP and conducted by Avalere.