Cobalt Health Solutions, a subsidiary of Blue Cross and Blue Shield of Kansas City (Mo.), is selling Cobalt MedPlans to MDI NetworX, according to a Nov. 24 news release. Cobalt MedPlans offers administrative services to payers, assisting a variety of…
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UnitedHealthcare has filed a lawsuit against the director of the Idaho Department of Insurance, arguing that the state’s recent efforts to regulate Medicare Advantage plan marketing and broker commissions are in violation of the U.S. Constitution. The lawsuit, filed Nov.…
America’s Health Insurance Plans, a trade association, published a report on the use of long-term care insurance across the country. For its “Long-Term Care Insurance Coverage: State-to-State 2025” report, AHIP compiled 2024 data from the National Association of Insurance Commissioners…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Albany (N.Y.) Medical Center seeks a system payer contracting director. 2. Barton HealthCare…
Humana is not letting go of its 2025 Medicare Advantage star ratings case. In the wake of the dismissal of Humana’s lawsuit with prejudice in October, the insurer announced plans to appeal to the 5th U.S. Circuit Court of Appeals…
CMS published its 2027 Medicare Advantage and Part D proposed rule on Nov. 25 that includes an overhaul of how star ratings are calculated, new enrollment flexibilities, and rollbacks of Biden-era health equity requirements. The proposed rule is subject to…
ACA enhanced tax credits may best be described as a “will they or won’t they” — will Congress extend them past the end of the year, or are they on track to expire? While an extension could happen, the outcome…
In 2025, health plans put emerging tech to use, but also had to discover and utilize workarounds for government regulations from the current administration. For many payers, navigating the past year has helped them plan ahead for 2026. Becker’s connected with…
Arkansas will see the largest percentage increase in average ACA benchmark premiums between 2025 and 2026, while Alaska is the only state where the average benchmark premium will decline, according to KFF. The U.S. average increase is 26%. Premiums were…
Cigna is joining a handful of other payers in CMS’ health technology “ecosystem,” according to a news release from the company. The CMS website said participants in the ecosystem agree to align on an interoperability framework for healthcare data and…