Hospitals and medical practices faced slower payment processing from insurers in 2024 compared to 2023 even as prior authorization denial rates fell, according to new revenue cycle data from Kodiak Solutions. The data was derived from more than 2,100 hospitals…
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Urbana, Ill.-based Carle Health will shut down its insurance businesses at the end of 2025. In a statement shared with Becker’s on May 22, Carle Health said Health Alliance and FirstCarolinaCare will exit all lines of business, including Medicare Advantage,…
Aetna Better Health of Illinois paid $20.4 million in value-based incentive payments to 16 community health centers. The funding is intended to improve quality of care in underserved communities, according to a May 20 news release. Three things to know: …
Florida would see the largest increase in its uninsured population if ACA premium tax credits are not extended, and Medicaid work requirements and other changes are implemented, according to KFF. Lawmakers are considering a reconciliation package that would implement Medicaid…
Evernorth, the Cigna Group’s health services arm, will cap out-of-pocket costs for Zepbound and Wegovy, two GLP-1 drugs, at $200. Members can save up to $3,600 a year compared to purchasing the drugs directly or through consumer programs, according to…
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Arkansas Blue Cross & Blue Shield reported a $226.2 million net loss in 2024 and a 15% increase in claims exceeding $1 million. President and CEO Curtis Barnett told Arkansas Business in May that members under 40 are generating seven-figure…
Eight Medicare plans have been recognized for high achievement or significant improvement in medication safety and appropriate use by the Pharmacy Quality Alliance. The awards are based on CMS’ 2025 Medicare Part D Star Ratings, where only 1.3% of the…
Leon County, Florida prosecutors have opened a criminal investigation relating to a $10 million donation from Centene to the Hope Florida Foundation, a nonprofit associated with Gov. Ron DeSantis, according to a joint report from the Miami Herald and the…
CMS cannot track whether states are repaying the federal government the correct share of funds Medicaid managed care plans do not spend on beneficiary care, according to an audit HHS Office of Inspector General published May 16. Many states require…
UnitedHealth Group is asking shareholders to support a $60 million stock option award for its new CEO. In a May 20 letter to shareholders, Christopher Zaetta, UnitedHealth’s chief legal officer, urged shareholders to approve the company’s executive compensation. Institutional Shareholder…