Payer

A policyholder alleged Cigna artificially inflated home healthcare prices to pocket consumers' overpayments, Bloomberg BNA reports.

WellCare of South Carolina, a subsidiary of WellCare Health Plans, launched a smartphone app to help Medicaid members in South Carolina manage their care, the health plan announced Oct. 4.

All hospitals affiliated with Peoria, Ill.-based OSF HealthCare — save for Saint Anthony's Health Center in Alton, Ill. — will no longer be in-network with Blue Cross Blue Shield of Illinois' preferred provider organization.

CMS released 2018 Star Ratings for Medicare Advantage and Part D plans, with approximately 73 percent of all Medicare Advantage enrollees with prescription drug coverage enrolled in a plan earning an overall rating of four stars or higher.

Nashville, Tenn.-based Vanderbilt University Medical Center signed an agreement granting in-network status to Cigna policyholders buying coverage on the 2018 ACA exchange.

Cleveland Clinic linked up with Anthem Blue Cross and Blue Shield in Ohio to offer a Medicare Advantage plan, cleveland.com reports.

Molina Healthcare, a Long Beach, Calif.-based health insurer, tapped former Aetna executive Joseph Zubretsky as president and CEO, effective Nov. 6.

Only 21 percent of consumers receiving coverage through their employer use their health plan's member portal regularly, according to a recent HealthMine survey.

The American College of Radiology, a Reston, Va.-based professional medical society, argued Anthem's new imaging policy for hospital-based MRI and CT scans is "arbitrary and unwise," according to a Richmond Times-Dispatch report.

Blue Cross Blue Shield of South Carolina subsidiary PGBA, a Columbia, S.C.-based claims processing provider, is eliminating an unspecified number of positions, ABC 15 News reports.