CareBridge, a value-based care company for patients receiving home and community-based services, has closed a $140 million financing round to begin expanding to more than a dozen states.
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The Ohio Hospital Association is partnering with Columbus, Ohio-based Rhyme to improve efficiencies within prior authorization at hospitals and health systems across the state.
Payers that reduce or eliminate compensation for insurance agents and brokers who help enroll people in ACA plans during a special enrollment period are in violation of the ACA, according to a FAQ published by CMS on June 7.
AmeriHealth Caritas has hired a former Blue Cross Blue Shield of Michigan leader to oversee its ACA marketplace business.
Aetna is canceling its in-network contract with mental health startup Cerebral on Aug. 21, Forbes reported June 8.
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Oscar Health is leaving two states by the end of this year and Humana is building hundreds of value-based primary care clinics for Medicare patients across the country. These are 11 recent moves involving payers to exit or enter markets:
The United Health Foundation is making a $100 million investment over the next 10 years to advance health equity by helping to build a more racially and ethnically diverse healthcare workforce.
Colorado Gov. Jared Polis signed legislation June 7 that will allow pregnant people, their children and all children access to Medicaid beginning in 2025, regardless of citizenship status.
A $5,000 out-of-pocket spending cap on Medicare would result in major savings for enrollees, but would also increase federal Medicare spending by $38.8 billion in 2023, according to a study published June 6 by the Urban Institute.
The U.S. District Court for the District of New Jersey is allowing a lawsuit to proceed against Cigna that alleges the payer has illegally refused to reimburse a radiology lab for $1.5 million spent on COVID-19 testing, violating the Employee…