Peter Pronovost, MD, PhD, one of the nation's leading patient safety experts, left UnitedHealthcare weeks after being named CMO in summer 2018, according to the Minneapolis/St. Paul Business Journal.
Payer
CMS issued a guidance to encourage states to let health insurers sell plans outside state-based and federal exchanges that do not include a surcharge to cover the loss of cost-sharing reduction payments, according to Kaiser Health News.
The National Health Law Program, Legal Aid of Arkansas and the Southern Poverty Law Center filed a lawsuit Aug. 14 to stop the implementation of Medicaid work requirements in Arkansas, according to CNN.
Health insurance startup Oscar Health reported net income of about $5 million in the first half of fiscal year 2018, a significant improvement from its $57.6 million loss in the first half of 2017, the insurer said in an email…
Google parent company Alphabet is planning to invest $375 million in Oscar Health, according to Wired.
Three Southern California health systems — San Diego-based Sharp HealthCare, Mountain Valley-based MemorialCare and Renton, Wash.-based Providence Health and Services' Los Angeles County facilities — introduced a regional health plan with Aetna Aug. 13.
Activist investor Carl Icahn will stop soliciting votes from Cigna shareholders against the insurer's $54 billion takeover of Express Scripts, the billionaire investor said in an Aug. 13 statement.
Star Ratings are critical to Medicare Advantage (MA) health plans. Achieving a 4-star rating or better ensures a five percent bonus payment; and plans with higher Star Ratings often enroll a higher percentage of members. Plus, a higher rating strengthens…
Cigna got another supporter of its $52 billion bid for Express Scripts after activist investor Carl Icahn called on shareholders to vote against the deal Aug. 7, according to Reuters.
Two chiropractors in South Carolina are scheduled for trial Aug. 13 on federal charges of overbilling BlueCross BlueShield of South Carolina $399,000 in fraudulent claims, according to Myrtle Beach Online.
