Anthem Blue Cross of California has expanded its behavioral health network by 10,000 providers in the past two years. The insurer has grown its behavioral health offerings by 90% since 2020, according to a May 27 news release shared with…
Payer
Use of the Collaborative Care Model for integrated mental healthcare has risen dramatically across Medicare, Medicaid and the commercial market since 2018, according to a report from consulting firm Milliman. The Collaborative Care Model was developed in the 1990s, but…
CVS Health has grown from a single store to a healthcare giant, operating pharmacies, a major insurer and primary and home care clinics.
Santa Clara Family Health Plan is pushing back against Santa Clara County’s move to transition its Medi-Cal infrastructure to a “single plan” model, calling the move a “hostile takeover,” the Mercury News reported May 22. Santa Clara Family Health Plan…
Hospitals and medical practices faced slower payment processing from insurers in 2024 compared to 2023 even as prior authorization denial rates fell, according to new revenue cycle data from Kodiak Solutions. The data was derived from more than 2,100 hospitals…
Urbana, Ill.-based Carle Health will shut down its insurance businesses at the end of 2025. In a statement shared with Becker’s on May 22, Carle Health said Health Alliance and FirstCarolinaCare will exit all lines of business, including Medicare Advantage,…
Aetna Better Health of Illinois paid $20.4 million in value-based incentive payments to 16 community health centers. The funding is intended to improve quality of care in underserved communities, according to a May 20 news release. Three things to know: …
Florida would see the largest increase in its uninsured population if ACA premium tax credits are not extended, and Medicaid work requirements and other changes are implemented, according to KFF. Lawmakers are considering a reconciliation package that would implement Medicaid…
Evernorth, the Cigna Group’s health services arm, will cap out-of-pocket costs for Zepbound and Wegovy, two GLP-1 drugs, at $200. Members can save up to $3,600 a year compared to purchasing the drugs directly or through consumer programs, according to…
Arkansas Blue Cross & Blue Shield reported a $226.2 million net loss in 2024 and a 15% increase in claims exceeding $1 million. President and CEO Curtis Barnett told Arkansas Business in May that members under 40 are generating seven-figure…