Humana subsidiary CarePlus Health Plans received $641,467 in net overpayments in 2015, an audit by HHS' Office of Inspector General published Oct. 26 found.
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WellCare, Centene's Medicare Advantage subsidiary, will offer co-branded plans with Mutual of Omaha in 2024.
Starting in 2025, Aetna will take over a three-year health benefits contract for more than 740,000 North Carolina state employees, public educators, retirees and their dependents, upending a 45-year relationship between the state and Blue Cross and Blue Shield of…
Employers are looking to deductible-free health plans as employees report increasing concerns about the cost of healthcare, according to Mercer's 2023-2024 "Inside Employees' Minds" survey.
Aetna is expanding its ACA plans to five new states in 2024.
Bright Health and Friday Health Plans are unable to meet their risk-adjustment payment obligations, leaving other insurers $1.1 billion short, CMS disclosed Oct. 27.
Payers' negotiated prices for office visits and medical services can vary widely from county to county, according to a price transparency study published Oct. 27 in JAMA Health Forum.
Lawmakers are introducing a bill to crack down on inaccurate provider directories in Medicare Advantage.
Insurers appointed new executives to lead their Medicaid business, and one CEO expects Medicaid expansion is around the corner in more states.
North Carolina's treasurer, Dale Folwell, is urging the board that oversees the state's employee health plan to end coverage for GLP-1 drugs such as Wegovy and Saxenda, citing high costs.