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In recent months, payers across the country have tried tightening policies to get a better grip on evaluation/management coding. While…
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Blue Cross Blue Shield of Michigan reported a net loss of $246 million on enterprise revenue of $43.3 billion in 2025, up from its $1.02 billion loss on $40.6 billion in revenue in 2024. For 2025, the company posted an…
Blue Shield of California nonprofit parent company Ascendiun launched a national healthcare reform movement focused on value-based care, cost and tech advancement — and is calling on the government to help — according to a news release. The campaign, called…
The Cigna Group’s COO and president, Brian Evanko, will take on the role of CEO upon David Cordani’s retirement July 1, according to a March 3 news release from the Cigna Group. Mr. Evanko currently oversees Cigna Healthcare and Evernorth…
Medicare Advantage enrollment grew less than 1% during this past annual enrollment period, but beneath that modest topline number was a dramatic reshuffling as national payers shed hundreds of thousands of members while smaller and regional plans posted some of…
On Feb. 25, Centene offered CMS seven Medicaid reforms that would allow managed care organizations to take the reins in targeting fraud, waste and abuse in Medicaid. The letter called on CMS to: 1. Permit proactive payment suspensions without a…
Sen. Bernie Sanders, I-Vt., and Rep. Ro Khanna, D-Calif., introduced legislation March 2 that would reverse the Medicaid and ACA changes enacted under the One Big Beautiful Bill Act and expand Medicare to cover dental, vision and hearing services for…
From the departure of a longtime executive, to limiting employee raises, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Feb. 10. 1. UnitedHealth Group named Dennis Stankiewicz as chief accounting officer. Tom Roos,…
The insurer-backed Better Medicare Alliance, a Medicare Advantage advocacy group, and over 100 other organizations sent a letter Feb. 27 to CMS Administrator Mehmet Oz, MD, urging the agency to modify proposed 2027 rate levels for Medicare Advantage. The signatories…
CarepathRx has joined Evernorth Health Services, a division of the Cigna Group. According to a statement to Becker’s from Evernorth, the acquisition was completed in 2025 as part of the company’s strategy to expand support for patients with specialty conditions…
Elevance Health has named Rachel Chinetti as president of Wellpoint Tennessee, which provides managed care benefits to about 1.4 million Medicaid beneficiaries. Ms. Chinetti will oversee strategy and day-to-day business operations, with priorities including rural health, maternal health, and long-term…
