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…
Payer
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…
Republicans on the House Ways and Means Committee are considering a bill that aligns with President Donald Trump’s pitch to directly send ACA healthcare subsidies back to consumers, a source told Politico. The source spoke on the condition of anonymity…
Over 8,700 Bronx residents partook in New York City-based EmblemHealth’s community diabetes wellness program in its first year, according to a Nov. 12 news release from the insurer. The program offers screenings, nutrition workshops and individualized support, hosting 109 events…
Aetna’s new “level of severity inpatient payment” Medicare policy is now set to kick off next year instead of Nov. 15, according to a Nov. 6 company document. As part of the reimbursement approach, Aetna will approve inpatient stays without…
State insurance regulators are issuing warnings around what they describe as unfair practices by Medicare Advantage insurers to restrict enrollment. Amid rising costs and increased regulatory pressures, insurers have been adjusting their broker commission structures this year as many look…
UnitedHealth Group is working to position itself as a frontrunner in the wider healthcare industry’s ongoing technological transformation, with AI at the heart of its strategy to innovate, improve operational efficiency, and enhance the experience of its customers. As the…
As part of the ongoing enterprise-wide recalibration effort to improve financial performance, UnitedHealth Group leadership shared in late October that it would be moving its finance business at Optum under the umbrella of Optum Insight, the company’s data and analytics…
