As states implement HR1 work and community engagement requirements, Medicaid, Med-Cal and Duals plans are confronting a familiar but intensified challenge: how to reach, educate, and support members who are historically the hardest to activate. The stakes are incredibly high.…
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From naming a successor to its retiring CEO to defeating a class action over GLP-1 coverage exclusions, here are 10 updates on the Cigna Group and its subsidiaries that Becker’s has reported since Feb. 13: 1. Cigna was named to…
As value-based care continues to reshape the health insurance landscape, health plans face mounting pressure to evolve by continuing to become a true partner in care delivery. The shift demands more than operational adjustment — it requires a fundamental rethinking…
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. Albany (N.Y.) Medical Center seeks an assistant director of system payer contracting. 2.…
UnitedHealthcare has launched Avery, a generative AI companion that helps members navigate healthcare services. Six things to know: 1. The AI assistant is designed to understand members’ benefits and help them better understand coverage details and care options before scheduling…
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CMS has introduced a new model to support whole-person care for children up to age 21 enrolled in Medicaid and the Children’s Health Insurance Program. The Accelerating State Pediatric Innovation Readiness and Effectiveness Model will run for 10 years and…
Medicare Advantage now covers about 55% of eligible beneficiaries (about 35 million people) and costs the federal government a projected $76 billion more in 2026 than traditional fee-for-service Medicare would, according to a March report by the Medicare Payment Advisory…
CMS approved Minnesota’s plan to tackle Medicaid integrity concerns, according to a March 19 letter to the state’s Medicaid director. In January, CMS informed Minnesota of “several deficiencies” in the state’s Dec. 31 plan submission to resolve integrity concerns, which…
Signed into law 16 years ago on March 23, 2010, the ACA has recently been at the center of a government shutdown, coverage dips and political discourse. Here are five things to know about where the law currently stands:
Affordability has become one of the most discussed topics in modern health care. Medical spend is shifting and health plans are looking for realistic strategies to control costs and maintain financial viability. To better move the needle on affordability, health…