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Montana has submitted an application to HHS to add work requirements and enhanced cost-sharing to its Medicaid expansion program.  Under the proposal, “working-age, able-bodied adults” with incomes up to 138% of the federal poverty level will be required to complete…

The House Committee on Oversight and Government Reform is investigating CVS Health over reports of the company using confidential patient information to lobby against a bill under consideration by the Louisiana legislature. Chairman James Comer, R-Ky., and Subcommittee on Federal…

Samaritan Health Plans, the insurance arm of Corvallis, Ore.-based Samaritan Health Services, will exit the Medicare Advantage market in 2026, the Lincoln Chronicle reported Sept. 3. Bruce Butler, CEO of Samaritan Health Plans, told Becker’s in a statement that the…

Portland-based CareOregon has hired McKinsey & Co. as the nonprofit insurer navigates financial challenges, Willamette Week reported Sept. 3. CareOregon laid off 80 employees and canceled 70 empty roles in July. In a statement shared with Becker’s, CareOregon cited rising…

Manchester, N.H.-based Catholic Medical Center and Cigna reached a new contract on Aug. 28.  The agreement ensures that the hospital remains an in-network provider for all of Cigna’s commercial health insurance products, according to an Aug. 28 news release from…

Total health benefit costs per employee are slated to increase 6.5% in 2026, marking the highest jump since 2010, according to Mercer’s 2025 National Survey of Employer-Sponsored Health Plans. That figure takes cost-reduction measures into account. Employers estimate nearly a…

CMS is expanding eligibility for catastrophic health coverage on the ACA marketplace in 2026. The agency issued new hardship exemption guidance on Sept. 4 aimed at individuals projected to be ineligible for advance premium tax credits or cost-sharing reductions due…

Former CVS Health CFO Shawn Guertin has joined the board of directors for Aledade, the largest network of accountable independent primary care practices in the U.S.  Mr. Guertin served as CVS Health’s executive vice president and CFO from 2021 until…

Hollywood, Fla.-based Memorial Healthcare System went out of network with Florida Blue Sept. 1 after the parties were unable to agree to a new contract.  The split affects all Florida Blue plans, Memorial Healthcare said on its website.  The system…

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