The Pennsylvania Insurance Department ordered Capital Blue Cross to pay restitution plus interest for wrongly denied claims, in addition to an $85,000 fine, pennlive.com reported Jan. 4.
The Latest
Molina Healthcare of New Mexico has named Darcie Robran-Marquez, MD, its chief medical officer.
Optum is hiring 1,400 employees from Brewer, Maine-based Northern Light Health and will manage parts of the system's operational functions.
SCAN Group has named Emily Cook as CEO of Welcome Health, the company's in-home primary care group serving seniors.
HHS is giving states greater flexibility to cover social determinants of health initiatives under their Medicaid program.
Several Blue Cross Blue Shield companies have formed a medication contracting organization, Synergie Medication Collective, aimed at reducing high specialty drug costs.
Humana is laying off at least 1,162 employees in two states following the decision to close all its SeniorBridge home care facilities nationwide.
A case filed by two former UnitedHealth executives who sued the company for allegedly underpaying them for a billion-dollar business line they helped create has quietly closed, the Minneapolis/St. Paul Business Journal reported Jan. 3.
CMS needs better strategies to ensure proper oversight of Medicare Part B drug payment calculations, according to a Dec. 3 report from HHS' Office of the Inspector General.
The newest health plan in Idaho is now available from the state's largest health system.