Molina Healthcare CEO Joseph Zubretsky will become the longest-tenured chief executive among big payers when Cigna’s David Cordani retires on July 1. Mr. Zubretsky narrowly edges out Elevance’s Gail ...
Arkansas will begin a soft launch of Medicaid work and community engagement requirements for enrollees in its Medicaid expansion program on July 1, with full enforcement set to begin Jan. 1, 2027.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory ...
As administrative costs rise and reimbursement grows more complex, both health plans and providers are under increasing pressure to improve the payment experience. Faster payment remains important, ...
Blue Cross Blue Shield plans faced widespread financial pressure in 2025, with several major insurers posting operating losses as medical and pharmacy costs continue to climb. The struggles played out ...
Virginia Democratic Gov. Abigail Spanberger signed HB736 into law April 6, furthering prior authorization reform in the state. Effective in 2027, the law establishes a minimum duration requirement.
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory ...
The day after CMS released its final 2027 Medicare Advantage and Part D payment rule, Chris Klomp, director of Medicare and deputy administrator at the agency, sat down with Health Tech Nerds Radio ...
Thirty-six percent of providers believe payers reliably deliver on promises, according to an inaugural Aetna provider survey released April 8. The survey will run quarterly, polling representatives of ...
CMS has issued operational guidance to states regarding how to implement H.R. 1’s Medicaid coverage restrictions for noncitizens, which take effect Oct. 1. On April 8, the agency outlined how states ...
AP of South Florida, a Florida-based insurance brokerage, has agreed to plead guilty to one count of major fraud against the U.S. for its role in a fraudulent ACA enrollment scheme. In a parallel ...
Senate Democrats lay out health insurance reform agenda — and put industry on notice By: Elizabeth Casolo ...
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