Arizona has awarded Medicaid long-term care contracts to four managed plans after a yearlong dispute process. UnitedHealthcare, Centene, Banner-University Care Advantage and Mercy Care will manage the Arizona Long Term Care System-Elderly and/or Physically Disabled program, according to a May…
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CareSource will pursue affiliation with Lakeland Care, a Fond du Lac, Wis.-based managed care company. Following regulatory approvals, Lakeland will become part of Dayton, Ohio-based CareSource, which serves more than two million Medicaid members across 13 states. Lakeland serves older…
Highmark Blue Cross Blue Shield Delaware President Nicholas Moriello is stepping down, effective May 9, the Delaware Business Times reported. Highmark has named vice president of commercial business, Tom Fitzpatrick, as acting president, and the company is searching for a…
The nation’s largest payers have filed their first-quarter earnings reports, revealing which recorded the largest profits in the first three months of 2025. 1. UnitedHealth Group: $6.3 billionTotal net earnings in the first quarter were nearly $6.3 billion. UnitedHealthcare’s total…
The Cigna Group will introduce two new programs to help manage the cost and delivery of GLP-1 drugs. On a May 2 earnings call, Cigna Group President and COO Brian Evanko, in addition to reporting total year-over-year revenue up 14%,…
At least eight health systems are getting out of the insurance business.
UnitedHealth Group and Amedisys have reached a deal to divest some home health and hospice clinics to BrightSpring Health and the Pennant Group. According to a May 1 regulatory filing, the two companies reached a deal to sell certain home…
Alignment Healthcare has named Jim Head its new CFO. Mr. Head joins Alignment from Claritev, formerly known as MultiPlan, according to a May 1 news release. He served as MultiPlan’s executive vice president and CFO from November 2021 to August…
The Department of Justice has filed a sweeping lawsuit against Humana, Aetna, and Anthem, along with Medicare Advantage brokers eHealth, GoHealth, and SelectQuote, alleging a multi-year scheme involving unlawful kickbacks and discriminatory practices against disabled MA enrollees. According to the…
The Cigna Group raised its year-end adjusted income from operations to at least $29.60 per share, according to the company’s first quarter earnings published May 2. Total revenues in the first quarter were $65.5 billion, up 14% year over year.…