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Erin Brewer is joining Blue Shield of California’s board of directors. Ms. Brewer had served as CFO of Lyft since…
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AmeriHealth Caritas is growing its marketplace presence in 2027, bringing plans to two more states — Indiana and Ohio — and expanding its reach in four others. According to an Oct. 15 news release shared with Becker’s, marketplace plans will…
The IRS and Treasury Department have proposed regulations, published Oct. 15, to implement HR 1 provisions and reform premium tax credits for ACA exchanges. “The proposed rules protect eligible taxpayers while strengthening the integrity of the premium tax credit,” IRS…
Molecular residual disease (MRD) testing is moving into the next phase of precision oncology, extending molecular insight past diagnosis and treatment selection into post-treatment monitoring, surveillance and survivorship. For health systems, the question is not whether to add another test.…
Presented by:
- Rick Baehner, MD, Chief Medical Officer, Precision Oncology Abbott Cancer Diagnostics, Clinical Professor of Pathology,, University of California, San Francisco
Cigna is facing a lawsuit claiming it made a profit by underpaying out-of-network ground ambulances, according to a class-action complaint filed Oct. 12 in a California federal court. The lawsuit centers on self-funded employer health plans that Cigna administers under…
CMS can now exclude individual providers and entities from participating in federal healthcare programs, including Medicare and Medicaid. HHS Secretary Robert F. Kennedy Jr. delegated the authority to the CMS administrator in a notice that took effect immediately. Here are…
CMS ended subsidies in 2026 for 189,000 people with federally subsidized marketplace coverage who also had Medicare, Medicaid or Children’s Health Insurance Program coverage, or who were deceased, HHS said Oct. 14. Here are five things to know: 1. The…
Value-based care promised better outcomes at lower cost. Years of effort and millions in infrastructure later, payer leaders are asking a blunt question: is it delivering? On Oct. 21, join us for a candid discussion built for payer leaders that…
Presented by:
- Tim Smith, ASA, MAAA, MS, Chief Actuary, Arbital Health
- Niall Brennan, Chief Data and Analytics Officer, Horizon BCBS
- Ali Khan, MD, MPP, FACP, Advisor, Andreessen Horowitz, Former CMO of Medicare, Aetna
Arbitration awards under the No Surprises Act can reach nearly 6% of total commercial medical spend in some regions, UnitedHealthcare CEO Tim Noel said during an Oct. 13 earnings call. The medical cost trend for UnitedHealthcare’s commercial business is “exceeding”…
DataSpring, powered by CAQH, assembled a collective of insurers, along with the American Medical Association, to launch a new standard to measure provider directory data quality for individual clinicians on Oct. 13. DataSpring, owned by major health insurers, bridges payer…
Optum Health’s earnings from operations climbed to $735 million in the third quarter, up from $41 million a year earlier, as UnitedHealth Group’s care delivery arm continues to recover from a challenging 2025. The unit’s operating margin rose to 3.2%…
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