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Elevance Health posts $2.2B profit in Q1
Elevance Health posted $2.2 billion in net income during the first quarter, a nearly 13% increase compared to the same period last year, according to the company's earnings report published April 18. -
Former BCBS North Carolina execs raise millions for startup aimed at coordinating care outside US
Two former executives with Blue Cross and Blue Shield of North Carolina have completed a $2.1 million seed round for their startup aimed at finding healthcare services outside the U.S. for patients, TriangleInno reported April 16. -
Mississippi weighs state-based ACA exchange
Legislation has been introduced in Mississippi that would transition the state to a state-run ACA exchange. -
3 Pennsylvania health systems sue Aetna for breach of contract
A group of three Pennsylvania health systems has sued Aetna, alleging the insurer subtracted the cost of supplemental benefits from money intended for patient care. -
Some Blues not reconnecting to Change Healthcare, BCBS Association says
Some Blue Cross Blue Shield plans are reconnecting to Change Healthcare's platforms and other plans are not, the BCBS Association told lawmakers April 16. -
UnitedHealth vows to bring back Change Healthcare stronger than before hack
UnitedHealth Group plans to bring Change Healthcare back stronger than it was before it suffered the largest cyberattack in the history of the U.S. healthcare system. -
Medicare Advantage costs begin to stabilize, UnitedHealth says
Rising medical cost trends aren't going down, but they are stabilizing, UnitedHealth Group executives say. -
UnitedHealth posts $1.4B loss in Q1 following Change cyberattack
UnitedHealth Group posted a $1.4 billion net loss in the first quarter of 2024 following the sale of its Brazil operations and the unprecedented cyberattack on its Change Healthcare subsidiary in late February. Despite the losses, the company beat investor expectations and shares rose more than 6% to above $474, the Wall Street Journal reported. -
Cigna's Evernorth to build new innovation hub in Ireland
Cigna's Evernorth Health Services is building a new innovation hub in Galway, Ireland. -
Vermont providers, BCBS Vermont at odds over prior authorization bill
Vermont providers are pushing for the passage of a state bill that aims to reform the prior authorization process, while Blue Cross and Blue Shield of Vermont has raised concerns that the proposal could cause rates to rise. -
AHIP criticizes hospital lobby's response to Change hack
AHIP's chief executive criticized the hospital lobby's response to the Change Healthcare cyberattack as "opportunistic" and "maintaining the status quo." -
1 in 4 of those disenrolled from Medicaid are uninsured: 5 things to know
Around 1 in 4 Medicaid beneficiaries disenrolled during the redeterminations process are now uninsured, according to a survey from KFF. -
Feds investigating if Sentara's payer arm unfairly increased premiums
The Justice Department is investigating whether Norfolk, Va.-based Sentara Health's insurance arm unfairly increased premiums in 2018 and 2019 as it received more than $655 million in federal subsidies, The Virginian-Pilot reported April 9. -
Insurers fall short on digital experience: 3 things to know
Health insurance lags behind other industries when it comes to customers' experiences with digital platforms, according to a report from J.D. Power. -
BCBS of Rhode Island reports $26M operating loss in 2023
Blue Cross & Blue Shield of Rhode Island reported a $26 million operating loss in 2023, which it said reflected a "substantial surge in medical and pharmacy claims." -
UnitedHealth chairman, executives sold stock before probe became public: Bloomberg
Bloomberg reported April 11 that UnitedHealth Group's chairman and three of the company's executives made a combined $101.5 million from stock sales made over a four-month period leading up to the public becoming aware of a Justice Department antitrust investigation. -
Groups unveil value-based care playbook
AHIP, the American Medical Association and the National Association of ACOs have released a playbook of voluntary best practices for value-based care payment arrangements. -
10 providers seeking payer contracting talent
Ten providers recently posted job listings seeking leaders in payer contracting and relations. -
Investigation reveals UnitedHealth, Cigna, Aetna made millions in fees from out-of-network claims
Major insurers made millions in fees by using MultiPlan, a data analytics firm, to determine how much to pay providers for out-of-network claims, according to an investigation from The New York Times. -
7 prior authorization updates
From Point32Health announcing home health prior authorization cuts to a state's proposed gold carding program legislation failing, here are seven updates on prior authorization that Becker's has reported since March 21.
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