Facing a $200 million loss in 2024, Bloomington, Minn.-based HealthPartners is scaling back its health plan operations, the Minnesota Star-Tribune reported April 30. As of April 1, HealthPartners has exited Minnesota’s Special Needs Basic Care Medicaid program, per the Star-Tribune.…
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A group of New York state employees is suing Carelon Behavioral Health, alleging the health benefits provider knowingly maintained inaccurate directories of mental health providers, referred to in the lawsuit as “ghost networks.” In a proposed class-action lawsuit filed in…
Novo Nordisk and Humana’s CenterWell Pharmacy are expanding their GLP-1 partnership to further increase access to Wegovy through direct-to-patient delivery and telehealth services. Telehealth providers Hims & Hers Health, LifeMD, and Ro will work directly with NovoCare to prescribe Wegovy…
Health insurers face “relatively modest short-term effect from tariffs,” according to an April 28 brief from Fitch Ratings. The short-term effects could change though depending on how long tariffs last and the industries they apply to, and insurers could face…
Aetna will exit the individual ACA exchange market in 2026, citing continued underperformance. CVS Health reported its first quarter earnings May 1. On a call with investors, CEO David Joyner said the company determined there is “not a near or…
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Humana recorded a net income of $1.2 billion in the first quarter of 2025, up from a net income of $741 million during the same period last year, according to its April 30 financial report. Total revenue for the three…
Elevance Health will remove most of its Anthem Medicare Advantage plans from online broker platforms. According to a message sent to brokers, Anthem said most of its standard Medicare Advantage plans will be removed from online broker platforms May 1.…
CVS Health will lay off 55 employees who report to Aetna’s headquarters in Hartford, Conn., due to the closure of the payer’s CareFree insurance plan. “We are sunsetting CareFree operations by the end of this year as part of our…
A package of California bills aiming to streamline the prior authorization process recently passed out of Senate and Assembly health committees, the California Medical Association said April 28. The four-bill “Prioritizing Patients, Empowering Physicians” package was unveiled April 10 by…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Akron Children’s Hospital seeks a director of reimbursement and payer analysis. 2. Albany…