Cigna's Evernorth Care Group plans to cut specific specialty services and consolidate certain Arizona care locations in the next few months. The reductions will result in 261 employees being laid off, according to an Arizona WARN notice filed May 31.
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Blue Cross and Blue Shield of Kansas City is exiting the Medicare Advantage market at the end of 2024, citing increasing regulatory requirements and financial headwinds.
Three states recently passed legislation reforming the prior authorization process:
In less than a month's time, a federal lawmaker warned weight loss drugs have the potential to bankrupt the healthcare system, and new research from Blue Cross Blue Shield found nearly six in 10 patients taking the drugs don't reach…
Claims adjudication is a complex process with rising costs. Solutions involve a combination of automation, selective outsourcing and process optimization to lower costs and improve efficiency.
Sean Robbins, an executive vice president for the Blue Cross Blue Shield Association, has been named CEO of Cushman & Wakefield/Boerke, a commercial real estate company.
Payer executives are expecting AI, integrated care and an aging population to transform the healthcare landscape in the next decade.
Iowa and Nebraska have the highest percentage of original Medicare enrollees with supplemental benefits, while Hawaii has the lowest, according to an AHIP report published in May.
UnitedHealth Group is running around 500 use-case applications for AI across the organization, CEO Andrew Witty told investors.
Redeterminations could be shaking up margins in the Medicaid business, payer executives warn.