CMS has approved Maine's plan to improve health insurance for small businesses and tackle rising premiums by merging its individual and small group markets under the ACA into a single, pooled market, starting in 2023.
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Neighborhood Health Plan of Rhode Island has named Karen Carlson COO and Melissa Husband as chief of staff, Providence Business News reported July 17.
Peoria, Ill.-based OSF HealthCare will only cover fertility treatment for employees in opposite-sex marriages, Bloomberg Law reported July 18.
AIDS Healthcare Foundation filed a lawsuit July 12 in St. Louis federal court against Cigna subsidiary Express Scripts for allegedly manipulating Medicare star ratings against pharmacies to "claw back" Medicare benefits at the expense of AHF patients.
Clover Health plans to offer Medicare Advantage plans in 13 new counties across Georgia, South Carolina and Tennessee in 2023, pending CMS approval.
Empire BlueCross BlueShield has reversed its decision to not cover a multiorgan transplant for a New York City man suffering from a rare appendix cancer following conversations with the Cleveland Clinic, according to WABC.
Anthem Blue Cross and Blue Shield commercial and Medicare Advantage plan members will remain in network at Lewiston-based Central Maine Healthcare after the sides agreed to a multiyear contract, CBS affiliate WABI reported July 14.
UnitedHealth Group saw double-digit revenue growth over the last three months driven by continued member growth under UnitedHealthcare and value-based arrangements at Optum Health, according to the company's second quarter 2022 earnings report released July 15.
Patients at Roseville, Calif.-based Adventist Health with Anthem Blue Cross health plans will need to seek care elsewhere if the payer and health system fail to agree on a new contract by July 18, the San Joaquin Valley Sun reported July…
Las Vegas-based Fremont Emergency Services, a subsidiary of TeamHealth, filed a lawsuit July 13 against UnitedHealthcare in a Las Vegas federal court, where it is seeking a permanent injunction against the payer's downcoding policy.