Zing Health is plotting an expansion in the Medicare Advantage market.
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L.A. Care will pay a $55 million penalty to resolve allegations the plan improperly denied claims, and had a backlog of unresolved grievances.
Vice President Kamala Harris has proposed expanding Medicare coverage for home healthcare, NPR reported Oct. 8.
CVS Health will lay off 416 employees at Aetna's headquarters in Hartford, Conn.
From Centene completing the sale of another subsidiary, to IU Health announcing plans to sell its health plan to Elevance Health's Anthem Blue Cross and Blue Shield, here are five payer M&A updates Becker's has reported since Sept. 6.
Health plans often prioritize managing high-cost areas like pharmacy, behavioral health, and diabetes while overlooking Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). This oversight results in unmanaged costs, leading to care delays, poor member experiences, and missed opportunities for…
Ten providers recently posted job listings seeking leaders in payer contracting and relations.
A Texas state judge handed a victory to system-owned health plans that missed out on Texas' Medicaid contract awards, The Dallas Morning News reported Oct. 4.
CMS is proposing new regulations on the ACA marketplace in 2026, which include some aimed at cracking down on fraud.
Centene has completed the sale of Collaborative Health Systems to Astrana Health.