Monongalia County, West Virginia is dropping group coverage from Highmark Blue Cross Blue Shield in favor of Individual Coverage Health Reimbursement Arrangements administered by Take Command, local outlet WAJR reported Oct. 20. Premiums will continue to be almost entirely covered…
Payer
Medicare open enrollment kicked off earlier this month and will run until Dec. 7. From some big players exiting Medicare Advantage to boosts in regulatory legislation, there has been more uncertainty with navigating the space. Becker’s caught up with six…
Oscar Health is launching an AI agent and a menopause health program in 2026, according to an Oct. 20 news release. OpenAI will power AI agent Oswell, providing on-demand support for members and patient data insights for providers. Oscar said…
The Cigna Group and CVS Health said they will offer discounted infertility medications through TrumpRx, beginning in January 2026. Cigna’s Evernorth pharmacies — Freedom Fertility and VFP Pharmacy Group — plan to dispense EMD Serono’s Gonal-f, Cetrotide and Ovidrel at…
Trillium Community Health Plan, a Centene subsidiary, will take over PacificSource’s Medicaid population in Oregon’s Lane County, according to statements shared with Becker’s Oct. 17. In September, PacificSource decided not to renew its Medicaid contract, affecting about 92,000 people in…
CMS Administrator Mehmet Oz, MD, discussed some of the biggest issues facing the Medicare Advantage program at an Oct. 15 industry conference. During his first six months on the job, CMS has already overseen policy moves to streamline prior authorization…
Following the kickoff of Medicare open enrollment on Oct. 15, The Washington Post discovered inconsistencies in the Medicare Plan Finder, such as duplicative addresses and contradictory information regarding providers’ network status. After the Post reported the issues to CMS, an…
From a shareholder seeking to separate the company’s CEO and board chair roles, to Optum planning to buy a Massachusetts medical group, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Sept. 19: 1.…
Alignment Health Plan and Intermountain Health have launched a Medicare Advantage plan together for older people in Nevada, according to an Oct. 14 news release. Alignment said the co-branded HMO received five stars for 2026 and will offer $0 premiums…
The Minnesota Department of Commerce reached an agreement with Strategic Limited Partners, a company selling what Minnesota called “unauthorized and deceptive” health insurance products, to force it out of the state’s market. The department said in an Oct. 14 news…
