CMS Administrator Seema Verma penned an op-ed in The Washington Times urging states to "chart a new path" when developing programs and approaches to health coverage.
Payer
Emporia, Kan.-based Newman Regional Health will no longer be in network with Aetna Better Health, the health insurer's managed Medicaid product, according to The Emporia Gazette.
Dallas-based Tenet Healthcare and Anthem Blue Cross signed a new multiyear agreement, the organizations said Jan. 16.
Centene Corp., a health insurer, named David P. Thomas president and CEO for Fidelis Care, its New York subsidiary, after promoting Rev. Patrick J. Frawley senior vice president of social responsibility for the company.
The Department of Justice must continue reviewing public comments and files related to CVS Health's $70 billion acquisition of Aetna despite a lapse in funds during the partial government shutdown, according to court documents.
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An appeals court affirmed its ruling that UnitedHealth Group isn't allowed to offset overpayments made to out-of-network providers from some of its health plans by withholding payments to the same provider from its different health plans, according to Law 360.
Humana named William Shrank, MD, CMO of the insurance services division at UPMC Health Plan, its new CMO, the health insurer said Jan. 15.
These 10 contract resolutions and dissolutions occurred between payers and providers since early December, beginning with the most recent:
BlueCross BlueShield of Western New York reached a three-year agreement with Buffalo, N.Y.-based Catholic Health and its affiliated physicians, Catholic Medical Partners, according to The Buffalo News.
Anthem Medicare Advantage members in California and New York can purchase over-the-counter medications and health supplies at CVS Pharmacy stores using their health plan allowance beginning in January, the companies said Jan. 14.