Blue Cross of Idaho requested the Idaho Department of Insurance investigate Nutex Health after months of failed negotiations with Nutex’s Post Falls (Idaho) ER & Hospital, according to a Nov. 17 news release. The insurer expressed concern over the hospital’s…
Payer
Health plans are no longer treating interoperability as a check-the-box requirement; they are embracing it as a driver of strategic transformation. That was the core message from a featured session at Becker’s Fall 2025 Payer Issues Roundtable, where a panel…
The Cigna Group is consolidating its board committee structure, dissolving its standalone compliance committee and redistributing oversight responsibilities across other committees, effective Jan. 1. The board approved the changes in late October, according to an SEC filing. The restructuring follows…
Centene is putting its money where its mouth is when it comes to individual coverage health reimbursement arrangements. The managed care giant is transitioning more than 700 Indiana-based employees to ICHRA in 2026, becoming one of the most notable endorsements…
AI continues to hold promise for transforming healthcare operations, but realizing that potential requires more than plug-and-play solutions. In a featured session at Becker’s Fall 2025 Payer Issues Roundtable, leaders from Raport and Precision Medicine Diagnostic Partners explored what it…
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A federal jury in Florida has convicted an insurance brokerage president and the CEO of a marketing company for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to obtain commission payments from insurers. The scheme…
Cigna Healthcare is launching Clearity, a copay-only, tech-enabled health plan, according to a Nov. 18 news release. The product is a tiered copay model without deductibles and coinsurance. Employers can choose from five plan designs, which include up to four…
It is no secret that Kentucky struggles with maternal and infant health outcomes. The state scored an “F” on preterm birth rates in the March of Dimes annual report card and is among the worst in the country for maternal…
Molina Healthcare has been selected by the Florida Agency for Health Care Administration to administer a specialized Medicaid and CHIP program for low-income and underserved children. Molina was the sole plan selected and expects to serve approximately 120,000 enrollees of…
Oregon Gov. Tina Kotek, a Democrat, assembled an advisory group to address Medicaid sustainability, according to a draft charter document obtained by Oregon Public Broadcasting. Representatives from the Oregon Health Authority, CareOregon, Health Share of Oregon, Kaiser Foundation Health Plan…