A man is suing Aetna Life Insurance in the U.S. District Court for the Central District of California, alleging that its denials of lumbar artificial disc replacement surgery violate the Employee Retirement Income Security Act, according to court documents obtained…
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Houston-based Memorial Hermann patients in critical condition insured by BlueCross BlueShield of Texas are still covered under state law, despite the termination of its contract with the payer, Houston Public Media reported March 4.
From patient experience to treatment, Medicare and Medicaid health plans were ranked by the nonprofit National Committee of Quality Assurance, with several Kaiser Foundation plans performing well.
Minneapolis-based UCare will bid on a contract that would allow the health plan to manage care for a large group of beneficiaries in Iowa's Medicaid program, the Star Tribune reported March 7.
Fort Lauderdale, Fla.-based Broward Health plans to end its contract with UnitedHealthcare on April 1 if its demands for a new agreement are not met, according to a notification from the health system.
Molina Healthcare, a managed care company based in Long Beach, Calif., joined the S&P 500 on March 2.
L.A. Care, a publicly operated health plan in California with 2.5 million members, was fined $55 million for failing to authorize members' needed care, ensure timely access to care and address patient complaints, according to The Los Angeles Times.
From a contract fallout between two of Texas' largest payers and providers to Mayo Health limiting UnitedHealthcare members from making appointments, here are seven recent payer contract disputes and resolutions:
Optum and Cigna's venture arms participated in a $30 million investment in Flume Health, a digital health plan administration platform, according to a news release shared with Becker's.
Three states are each taking their own approach to combat Senior Health Insurance Co. of Pennsylvania's planned rate hikes and benefit cuts.