Cigna has named Andrea Nelson as chief legal officer, Bloomberg Law reported Aug. 27.
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Cybersecurity threats and rising costs are some of the greatest challenges facing payers and accountable care organizations, according to executives.
Cigna will remove Humira from its largest commercial formularies in 2025.
Centene will no longer pay commission to insurance brokers enrolling or renewing members in its Medicare Part D plans.
CMS has awarded $100 million to organizations that help individuals enroll in ACA marketplace coverage.
CMS dropped a proposed regulation that would have required Medicare Advantage plans to return overpayments found during chart reviews over industry opposition, KFF reported Aug. 27.
ACA enrollees in Cook County, Illinois have access to 14% of local physicians, according to an Aug. 26 analysis from KFF.
The continued rising cost of healthcare is prompting many health plans to take a closer look at the value strong payment integrity programs can drive.
Aetna will cover intrauterine insemination as a medical benefit for eligible plans, a move the insurer called a "landmark policy change."
Pennsylvania has selected Aetna, UPMC Health Plan, Centene, AmeriHealth Caritas and Jefferson Health's Health Partners to administer its Community HealthChoices program.