The Massachusetts Division of Insurance has renegotiated lower rates — projecting $72 million in premium savings — with insurers in the state’s merged individual and small employer market. The negotiations included Blue Cross Blue Shield of Massachusetts HMO Blue, Harvard…
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A former vice president at Centene filed an age discrimination lawsuit against the company July 21. Kay Timmerman filed the complaint in the St. Louis County Circuit Court. The filing said Ms. Timmerman was 59 years old. In August 2025,…
The Cigna Group’s board of directors July 22 declared a per-share cash dividend of $1.56 to be paid on Sept. 23. The dividend will be paid to shareholders of record as of the close of business on Sept. 8. The…
On January 1, 2027, the Centers for Medicare & Medicaid Services (CMS) will launch the Ambulatory Specialty Model (ASM)—a mandatory payment model that fundamentally redefines how cardiology practices manage heart failure (HF). Unlike previous voluntary value-based programs, ASM is not…
Sep 3, 2026 12:00 PM - 1:00 PM CDT
Presented by:
Presenters:
- Kenneth Civello, MD, MPH, FACC, Louisiana Cardiology, FMOL Health
- Vicki Miller, DNP, RN, CPHQ, Director, System Advanced Heart Failure, Lee Health
- Sunthosh V. Parvathaneni, MD, FACC, FHRS, Section Lead of Clinical Cardiac Electrophysiology Regional Section Lead of Clinical Cardiac Electrophysiology Mercy Central Communities Assistant Professor in Clinical Medicine, University of Missouri/Mercy Hospital - Springfield
- Roy Davis, Group Director, Operations, Medical Cardiovascular, Mercy Health
For rural health systems, the pressures are relentless: margins erode, workforce shortages persist and access shrinks every time a service line closes. The $50 billion Rural Health Transformation Program is a once-in-a-generation chance to reverse that trajectory, but funding alone…
On Demand
Presented by:
Presenters:
- Kevin Post, DO, CPE, Chief Medical Officer, Avera Health
- David Wilson, Chief Operating Officer, North Mississippi Health System
- Caroline Brazeel, Senior Director Advisory Services, Premier, Inc.
Cigna Healthcare estimates $200 million in medical cost reductions over three years by enhancing its care management programs with expanded AI-enabled capabilities. In a July 23 news release, the insurer aims to reach roughly 20% more customers with complex or…
CMS is appealing its court loss that led to boosts in Clover Health’s 2026 Medicare Advantage star ratings. The case will now move to the U.S. Court of Appeals for the Eleventh Circuit, according to a July 21 court filing. …
Molina Healthcare reported $60 million in net income for the second quarter of 2026, a 76% year-over-year drop from $255 million. The insurer attributed the decline mainly to lower premium revenue and a higher medical loss ratio. Total revenue for…
The No Surprises Act’s arbitration process awarded close to $15 billion to providers in 2025, according to a Wall Street Journal analysis of federal data. Payouts through the independent dispute resolution process reached $14.85 billion in 2025, up from just…
Since the beginning of 2026, federal lawmakers have been pitching reforms that touch every corner of the payer space, from government-run programs to how insurance companies conduct business. Here are eight bills from 2026 that payers should keep on their…