Wisconsin Democratic Gov. Tony Evers vetoed a State Assembly bill that prevents immigrants lacking permanent legal status from getting healthcare reimbursement Dec. 5, despite these individuals already being ineligible to enroll in BadgerCare Plus, Wisconsin’s Medicaid program. While Wisconsin currently…
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Highmark Health is offering generic medications for multiple sclerosis and certain cancers, along with biosimilar drugs for some autoimmune conditions, at lower costs. In September, members started getting access to generic forms of dimethyl fumarate and dalfampridine, droxidopa, and capecitabine,…
Wausau, Wis.-based Aspirus Health’s St. Luke’s Hospital in Duluth, Minn., and Blue Cross and Blue Shield of Minnesota have reached an agreement to keep facilities in network through 2027, according to a Dec. 5 update on Aspirus Health’s website. “Our…
UnitedHealth Group is seeking to dismiss a lawsuit filed by Johnson City, Tenn.-based Ballad Health over alleged “Medicare Advantage manipulation,” arguing the health system is bound by arbitration agreements and filed the case to generate publicity. In a Dec. 4…
Tricare Prime Demo by CareSource Military and Veterans is coming to Tampa, Fla., and Atlanta next year. Through the Department of Defense, Tricare offers health plans to uniformed service members, retirees and their families. CareSource Military and Veterans President Holly…
This year, Elevance Health began covering doula care for members of some employer-sponsored health plans. Cynthia Brown, MD, medical director and clinical lead for women’s health at Elevance Health, joined the Becker’s Payer Issues podcast for an upcoming episode on…
New York Gov. Kathy Hochul has signed legislation requiring insurers to cover follow-up screening and diagnostic services for lung cancer without imposing cost sharing on members. The law takes effect Jan. 1, 2027, and amends state insurance law governing individual,…
Despite being the financial backbone of hospitals, operating rooms remain riddled with inefficiencies: idle robots, unclaimed block time, reactive staffing and costly delays. This is the OR efficiency paradox. Hospitals have more surgical data than ever but still struggle to…
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Horizon Blue Cross Blue Shield of New Jersey is exploring a move to a new headquarters building in downtown Newark as part of a mixed-use redevelopment project. The insurer’s current headquarters at Penn Plaza East would be redeveloped under a…
Elevance Health has rolled out its virtual assistant to 22 million commercial members, with a Medicare expansion planned for 2026. The tool, accessible through the Sydney Health app and affiliated plan websites, allows members to ask plain-language questions about coverage,…