This February, BCBS Michigan shared how it will cut reimbursement by 50% for nonpreventive evaluation/management services with modifier 25 that were billed on the same day as procedure codes with global periods of zero, 10 or 90 days. Modifier 25…
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Elevance Health bid on 11 national accounts in competing Blue Cross Blue Shield markets last year and won nine of them, the company said on its 2025 earnings call with investors, offering the first look at how a landmark antitrust…
About 4,000 Maryland Health Benefit Exchange customers “were mistakenly notified” of 2026 auto-renewal for CareFirst BCBS coverage, the insurer told Becker’s Feb. 5. CareFirst attributed the error to a “data synchronization issue” with the marketplace and said these individuals did…
Molina Healthcare will exit the Medicare Advantage Part D business in 2027, the company announced alongside its fourth quarter and full year 2025 earnings report published Feb. 5. The MAPD product represents approximately $1 billion in annual premiums. Molina said…
The Cigna Group’s board of directors on Feb. 5 declared a per-share cash dividend of $1.56 to be paid on March 19. The dividend will be paid to shareholders of record as of the close of business on March 5.…
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Indiana Medicaid will seek proposals from insurers for $68 billion in contracts for Medicaid managed care services, according to a Jan. 30 presentation by the state’s Family and Social Services Administration. The state plans to issue the request for proposals…
Twenty-two groups — most healthcare related — signed a letter advocating for a bill that aims for fairer comparison between Medicare Advantage and fee-for-service, according to a Feb. 4 news release from AHIP. Reps. Aaron Bean, R-Fl., and Kevin Hern,…
With a joint venture finalized, Reno, Nev.-based Renown Health and Oakland, Calif.-based Kaiser Permanente now co-own Renown’s health plan, Hometown Health. For Kaiser, it marks its entry into Nevada. For Renown, it’s an opportunity to scale up its health plan…
Nearly one-third of physicians enrolled in Medicaid don’t treat patients covered by the program, according to a study published Feb. 2 in Health Affairs. A team led by researchers at Portland-based Oregon Health & Science University analyzed physician enrollment files…
CMS is planning to continue its Medicare Advantage audits and overpayment recoveries, according to a Jan. 27 memo. While federal estimates point to $17 billion in overpayments each year, the last major risk-adjustment data-validation recovery took place in payment year…