Update: Allegheny Health Network signed a one-year in-network agreement with Cigna for commercial members that is effective July 1, the Pittsburgh Business Journal reported June 29.
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A federal judge in North Carolina certified class action status June 5 in a lawsuit alleging Aetna and OptumHealth Care Solutions conspired to use "dummy code" to make administrative fees appear to be billable medical charges.
Friday Health Plans, which is going out of business, is being sued by its co-founder and former COO David Pinkert for allegedly refusing to pay his severance package after he was terminated earlier this year.
The nation's largest payers saw generally stable financial results in the first quarter of 2023 despite economic uncertainty throughout the broader healthcare industry, according to a June 6 analysis from Fitch Ratings shared with Becker's.
The average cost of addressing social determinants of health is more than double what existing federal programs will cover, according to a study published May 30 in JAMA Internal Medicine.
Lucet, which provides behavioral health services to health plans, has named former Humana executive Brian Doheny its COO.
Humana's CenterWell Senior Primary Care business has opened its 250th center with plans to continue expanding over the next two years.
Nine payer CFO moves reported by Becker's since January 1:
Medicare Advantage company Alignment Health has named three new executives to focus on growing the company's membership, according to a June 6 news release.
Blue Cross Blue Shield of Massachusetts has named David Corkum as its new chief commercial officer.