Payer

CMS approved Wisconsin's Section 1115 waiver to implement new work requirements for Medicaid beneficiaries Oct. 31.

Brentwood, Tenn.-based Duke LifePoint Healthcare and UnitedHealthcare are attempting to negotiate a new contract for some of the health system's employed physicians before a Jan. 1 deadline, according to the Smoky Mountain News.

Cigna saw its operating performance improve in the third quarter of fiscal year 2018, buoyed by membership gains in its commercial insurance units.

Anthem CEO Gail Boudreaux said the health insurer's pharmacy benefit manager will launch Jan. 1, 2020, as previously announced, and bring billions in savings, according to Forbes contributor Bruce Japsen.

If Democrats win six gubernatorial races, 2.4 million more Americans could gain coverage via Medicaid expansion, according to an Avalere analysis featured by The Hill.

Blue Cross Blue Shield of Massachusetts has appointed Sukanya Soderland as senior vice president and chief strategy officer.

Toledo, Ohio-based ProMedica Physician Group may leave Aetna's provider network if a contract dispute between the two organizations persists, according to The Blade.

Most Medicare beneficiaries — 83 percent — want greater controls on prescription drug costs, according to a survey from online health plan exchange eHealth.

UnitedHealthcare, the health insurance arm of UnitedHealth Group, ranked first among 100 organizations HealthiestEmployers honored for employee well-being in 2018.

CMS said it is poised to claw back $1 billion from Medicare Advantage organizations by 2020 through widespread audits, according to a proposed rule.