Seventeen HCA hospitals in Florida are suing UnitedHealthcare for allegedly underpaying for emergency care provided to its ACA members. The hospitals claim that UnitedHealthcare consistently ...
Payers are focused on leveling up their use of AI and improving members' health outcomes in 2025. Becker's connected with more than a dozen executives at payers across the country to learn what their ...
Jefferson Health Plans has named Krista Hoglund as its next president, effective March 10. Ms. Hoglund most recently served as CEO of Security Health Plan, a subsidiary of Marshfield (Wis.) Clinic ...
The president of an insurance brokerage firm and the CEO of a marketing company have been charged for their alleged roles in a scheme to submit fraudulent enrollments for fully subsidized ACA plans in ...
Cigna Healthcare has named Paul Virtell president of its supplemental health business. Mr. Virtell joins Cigna from Prudential Financial, where he most recently served as vice president and chief ...
Humana plans to open between 20 and 30 primary care clinics in 2025. The company's CenterWell primary care brand will expand to four new metro areas in 2025 — Augusta, Ga., Savannah, Ga., Greensboro, ...
CareFirst Blue Cross Blue Shield is aiming to make generational investments with generational returns, according to CEO Brian Pieninck. In February, the insurer entered into a 10-year partnership with ...
Blue Cross Blue Shield of Michigan will begin enforcing a long-standing policy that would charge hospitals that repeatedly appeal denied claims. Although the policy has been part of the company’s ...
Intellectual curiosity and a willingness to draw from other industries are key traits for healthcare CEOs, according to Independence Health Group CEO Gregory Deavens. "For leaders in the space today, ...
Blue Cross and Blue Shield of Alabama is criticizing a proposed health plan backed by the Alabama Farmers Federation (ALFA), which BCBS says would provide unregulated coverage, harm members, and ...
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