CMS issued a proposed rule Dec. 14 to continue its efforts to overhaul prior authorization and marketing practices around Medicare Advantage and Part D plans, along with adding health equity measures to star ratings and boosting behavioral health network adequacy…
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Centene has promoted Ken Fasola to president and Jim Murray to chief operating officer as current president and COO Brent Layton plans to retire.
Two nonprofit payers, SCAN Group and CareOregon, plan to combine under the name HealthRight group.
James Schroeder, CEO of Health Share of Oregon, has been appointed interim director of the state's Health Authority, Oregon Capital Chronicle reported Dec. 13.
Oscar Health has gone through several transitions in recent months, with shake-ups in its executive suite and exits from two state markets.
The drug-pricing provisions of the Inflation Reduction Act only apply directly to Medicare, but the new policies will have effects across the entire market, according to an analysis published Dec. 14 in Health Affairs. .
The number of uninsured children in the U.S. dropped from 4,375,000 in 2019 to 4,165,000 in 2021, according to a Dec. 7 report from Washington, D.C.-based Georgetown University Health Policy Institute's Center for Children and Families.
The Blue Cross Blue Shield Association is adding new health-equity focused standards to its Blue Distinction Centers for Maternity Care designations.
A group of payers will display CMS' new "birthing-friendly" hospital designation in their provider directories.
The California Department of Health Care Services is transitioning 325,000 dual-eligible beneficiaries to Medi-Cal managed care Jan. 1, according to the California Medical Association.