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…
Payer
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…
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…
Advertisement
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…