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Lawsuits pile up against Cigna over alleged mass claim denials
The Cigna Group is facing a growing number of lawsuits from members and a shareholder following a ProPublica report that alleges the company denies large batches of members' claims without individual review, thereby denying them coverage for certain services. -
Lawmakers propose bill to automatically enroll children in Medicaid
Proposed legislation would automatically enroll all children under age 18 in Medicaid. -
6 payers exiting markets
As several payers plan market expansions for 2024, others are leaving markets behind. -
Medicare Advantage in the headlines: 8 recent updates
The National Committee for Quality Assurance has named the top Medicare Advantage plans of 2023, and new research is uncovering cost differences between MA and traditional Medicare. -
The most popular TV shows for Medicare Advantage ads
In 2022, viewers tuning into "Dr. Phil" saw an average of eight ads for Medicare Advantage plans per episode during open enrollment season, according to an analysis from KFF. -
North Carolina expanding Medicaid Dec. 1
North Carolina will launch its Medicaid expansion program Dec. 1, which is expected to provide more than 600,000 state residents with coverage. -
How Blue Cross North Carolina is bucking rising costs in the ACA market, per its CFO
Health insurers across the country are looking to raise premiums for individual exchange plans in 2024, with many proposing double-digit increases. In contrast, Blue Cross and Blue Shield of North Carolina says its members will see individual rates go down by an average of 4 percent next year. -
Kansas governor says Medicaid expansion the 'top priority' for 2024
Kansas Gov. Laura Kelly has launched a statewide campaign pushing for Medicaid expansion, calling it her top priority for the state's legislative session next year. -
Mississippi governor announces $690M Medicaid reforms for state's hospitals
Hospitals and healthcare systems in Mississippi could benefit by approximately $690 million from a couple of planned proposals announced Sept. 21 by Gov. Tate Reeves. -
Bright Health's COO to leave company
Bright Health's COO Jeff Cook is departing the company, effective Oct. 13. -
Health insurers go all in on Mark Cuban's drug company
It's been a busy year by any measure for Mark Cuban Cost Plus Drug Co., but especially within the world of health insurance. -
UnitedHealthcare cutting some Medicare Advantage plans, expanding overall footprint for 2024
UnitedHealthcare is discontinuing some Medicare Advantage plans and exiting some service areas for 2024. -
Why Medicare Advantage beneficiaries have lower healthcare utilization: 3 things to note
Medicare Advantage beneficiaries have 12 percent lower healthcare expenses than beneficiaries in fee-for-service Medicare, a whitepaper from researchers at Inovalon and Boston-based Harvard Medical School found. -
HHS pauses procedural Medicaid disenrollments in 30 states
HHS has paused procedural Medicaid terminations in 30 states reporting issues with their automatic renewal systems, and coverage for nearly 500,000 people improperly disenrolled through the error will be restored, the agency said Sept. 21. -
These payers air the most Medicare Advantage ads
Humana and UnitedHealthcare account for nearly half of Medicare Advantage enrollment, but just 20 percent of television advertising for MA plans, according to a report from KFF published Sept. 20. -
Judge won't block former Elevance Health exec from joining Molina
Elevance Health cannot prevent a former executive from beginning work at Molina Healthcare, a federal judge ruled. -
EEOC sues UnitedHealthcare over unvaccinated employee's firing
The U.S. Equal Employment Opportunity Commission is suing UnitedHealthcare over allegations the company discriminated against a fully remote employee by refusing to grant her a religious exemption from the company's COVID-19 vaccination requirement. -
Why some payer execs are betting big on individual markets
Some payer CEOs are feeling optimistic about the future of marketplace insurance. -
Virginia reinstates 45,000 Medicaid members disenrolled through glitch
Virginia reinstated around 45,000 people improperly removed from its Medicaid program, the Richmond Times-Dispatch reported Sept. 20. -
Medicaid expansion may be inching closer in Mississippi, but would it come too late?
There have been rumblings in Mississippi recently about putting up the concept of Medicaid expansion for open debate in a state where current Gov. Tate Reeves has repeatedly ruled such a policy out.
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