A new California law went into effect Jan. 1 that prohibits payers from making coverage decisions based solely on artificial intelligence algorithms.
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In an interactive session at Becker's Fall Payer Issues Roundtable, Sri Palanisamy, Principal at ZS, led a discussion on unique opportunities and challenges of provider partnerships, particularly for Blue Cross Blue Shield (BCBS) plans. The panel included Jason Hover, vice…
A former chief human resources officer at Elevance Health, Troy Henagan, has filed a lawsuit against the company in a Georgia federal court, alleging age discrimination after his termination in June 2024.
Scripps Health and Anthem Blue Cross are out of network as of Jan. 1.
Recent studies examined how Medicare Advantage beneficiaries use hospice care and dental benefits, as well as the reasons behind differences in diagnosis coding between traditional Medicare and MA enrollees.
Aetna is now out of network with Providence hospitals in Oregon.
UnitedHealth Group is the world's largest insurer by net premiums written for a 10th year in a row, according to AM Best's annual ranking published Jan. 2.
Florida Blue is the latest insurer to sue CMS over its Medicare Advantage star ratings.
CareSource has completed the acquisition of Common Ground Healthcare Cooperative, one of the last surviving ACA co-op plans.
L.A. Care Health Plan is the largest Medicaid managed care organization in the country with more than 2.5 million enrollees, according to KFF.