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Humana has launched its Medicaid business in Virginia. Virginia Cardinal Care beneficiaries can now select Humana as a Medicaid managed…
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Humana has launched its Medicaid business in Virginia. Virginia Cardinal Care beneficiaries can now select Humana as a Medicaid managed care plan, according to a July 2 news release. The state selected Humana as one of five insurers in 2024…
A Minnesota judge has ruled against UnitedHealthcare in a lawsuit challenging a Minnesota law barring for-profit insurers from the state’s Medicaid program. In a decision issued June 30, Minnesota District Court Judge Mark Ireland ruled the statue, passed as part…
The health insurance industry is facing a major downturn, driven by escalating issues in the Medicaid and ACA markets, as well as growing scrutiny of prior authorizations and pharmacy benefit managers, according to J. Mario Molina, MD, former CEO of…
Nevada Gov. Joe Lombardo and the Nevada Department of Health and Human Services have announced the launch of the Nevada Health Authority, effective July 1. The NVHA consolidates the state’s Medicaid program, ACA exchange, and public employees’ benefits program under…
Elevance Health has agreed to a $12.9 million settlement to resolve a class action lawsuit that accused the company of improperly denying coverage for residential treatment of mental health and substance use disorders. The lawsuit was originally filed in April…
Centene has pulled its earnings guidance for 2025, citing higher morbidity in its ACA marketplace business. In a July 1 regulatory filing, Centene said it received data from consulting firm Wakely indicating overall marketplace growth in 22 of its 29…
The affordability of employer-sponsored health insurance varies significantly by household income, according to a report from the Peterson-KFF Health System tracker. Average employer-sponsored insurance premiums have increased by 24% over the past five years, though deductibles have remained steady, according…
Ohio ended GLP-1 coverage for weight loss under its state employee health plan on July 1. Any current prior authorizations for medications will be honored until they expire, and GLP-1 medications prescribed for diabetes will continue to be covered. Several…
Representatives from Anthem Blue Cross Blue Shield and Columbia-based University of Missouri Health Care testified before a state committee on June 30 regarding a disagreement over reimbursement rates. Since April, MU Health Care’s physicians and facilities have been out of…
Groups representing insurers are urging the House of Representatives to rollback steep Medicaid cuts passed by the Senate. The “One Big Beautiful Bill Act, a 1,000+ page budget reconciliation package, passed the Senate July 1. The Senate version would cut…