The Indiana Hospital Association is aiming to “expose abusive insurer practices” through its Access Denied campaign, a Feb. 17 news release said. The initiative includes a web portal addressing care denials, amplifies media coverage of denials and prompts people to…
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Minnesota’s ACA exchange, MNsure, saw an 8% drop in private health insurance enrollment this year, according to a Feb. 10 news release. When the annual enrollment period ended Jan. 15, 139,251 Minnesotans had 2026 coverage through the exchange, versus 151,512…
Imagine360’s new chief product officer, Nilima Rajkumar, has concerns with pricing transparency in healthcare, specifically how traditional insurers may go off of hospitals’ chargemasters. “[Insurers] are offering you a discount, but it’s like, a discount off of what?” she said…
Almost 35.5 million people were enrolled in a Medicare Advantage plan as of Feb. 1, up about 3% from 34.4 million at the same time last year, according to CMS data analyzed by Becker’s. Growth during the annual enrollment period…
Oklahoma will transition away from the federal ACA marketplace platform and launch a state-based exchange for 2028 coverage. Currently, 20 states and Washington, D.C. operate state-based exchanges, according to CMS. Oklahoma residents will continue to use HealthCare.gov to enroll in…
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AmeriHealth Caritas is dropping its pharmacy benefit manager business, PerformRx, and transitioning to Optum Rx instead, the insurer confirmed to Becker’s Feb. 17. AmeriHealth Caritas is moving away “after a multiyear review” of PBM options. PerformRx will wrap operations “in…
In a Feb. 11 budget proposal, Gov. Gretchen Whitmer laid out how she plans to secure $780.4 million to stabilize Medicaid. Ms. Whitmer is aiming to bring in $232 million from tobacco, $73.6 million from vaping and non-tobacco nicotine products,…
Cigna’s Evernorth has partnered with Direct Relief to create a donation pathway that routes unused prescription medications from pharmacies directly to disaster response efforts. Express Scripts donated more than 41,000 prescription medications as an initial supply, the company said in…
Pennie, Pennsylvania’s ACA marketplace, saw about 1 in 5 users drop healthcare coverage in the wake of enhanced premium tax credits expiring, according to a Feb. 9 news release. Pennsylvania was among a handful of states to extend its open…
When San Diego-based Scripps Health walked away from nearly all of its commercial Medicare Advantage contracts Jan. 1, 2024, the move drew widespread attention across the industry. Medicare Advantage enrollment was still climbing nationally and many health systems were doubling…