Aetna plans to protest Kansas' Medicaid contract awards, while UCare will stand down after losing an effort to win a contract in the state. The Kansas Reflector reported May 22 that Aetna plans to ...
In 2024, 36 states offered Medicare Advantage plans to retired employees, according to a report from KFF published May 23. Almost every state provides health benefits to retired state employees, and ...
UnitedHealth Group said a proposed class-action lawsuit alleging an AI algorithm wrongfully denied Medicare Advantage patients care should be dismissed because "plaintiffs have failed to exhaust the ...
Vermont Gov. Phil Scott has signed a bill to reform the prior authorization process in the state. The legislation aligns prior authorization with Medicaid and claim edits with Medicare. It also allows ...
Blue Shield of California has named Kassie Maroney as senior vice president and chief actuary. Ms. Maroney will oversee health plan financial performance and lead the actuarial, pricing, underwriting, ...
From two states passing reform laws to an Oregon health system making prior authorization 'a thing of the past' for cancer treatment, here are five prior authorization updates Becker's has reported ...
10 payers were named in Forbes' annual "America's Best Employers for New Grads" list, published May 21. Forbes partnered with market research firm Statista to survey more than 100,000 young ...
The chair of the Senate Finance Committee is urging CMS to do more to stop fraud on ACA exchanges, KFF Health News reported May 21. In May, CMS said it received 40,000 complaints of unauthorized plan ...
Through pre-development loans, Centene and building developer McCormack Baron Salazar will enable around $900 million in planning and construction-related activity to accelerate the development of ...
An Oklahoma bill reforming the prior authorization process has been signed into law and goes into effect Jan. 1, The Journal Record reported May 21. The legislation requires prior authorization ...
New York City Mayor Eric Adams plans to ask the state's highest court to allow the city to implement an Aetna Medicare Advantage plan for its retired employees, the New York Daily News reported May 21 ...
Two New York health plans intend to merge, creating an organization with nearly 2 million members and 6,000 employees. The Lifetime Healthcare Co., parent company of insurers Excellus Blue Cross Blue ...