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Georgia sues federal government over Medicaid work program
Georgia is suing the Biden administration to keep the state's partially expanded Medicaid expansion program running until Sept. 30, 2028, the Georgia Recorder reported Feb. 2. -
Big payers ranked by 2023 revenue
The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest revenues in 2023. -
The 10 best payer tools, per KLAS
KLAS Research, a healthcare IT data and insights company, named its "Best in KLAS" payer tools for 2024. -
CVS Health cuts earnings guidance amid rising Medicare Advantage costs
Facing rising spending in Medicare Advantage, CVS Health lowered its 2024 earnings guidance. -
Big payers ranked by 2023 profit
The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest profits in 2023. -
7 recent payer rebrands
These are seven health insurance industry rebrands that have taken place since Jan. 1: -
Insurers split in '2 camps' on rising Medicare Advantage costs
Insurers are reporting rising costs in the Medicare Advantage business but differ in their predictions of how these trends will affect their business in 2024. -
What's behind Florida's health insurance crisis?
On top of a home insurance crisis, Florida residents face higher than average health insurance premiums due to a growing senior population and limited competition in the insurance marketplace, Newsweek reported Feb. 6. -
Centene records 88% marketplace enrollment growth in 2023
Centene lost more than 1.5 million Medicaid members through redeterminations year over year, but posted 88% enrollment growth in its marketplace segment, according to the company's earnings report published Feb. 6. -
CMS' 2025 Medicare Advantage rates lower than expected, Humana says
CMS' proposed Medicare Advantage rates for 2025 are lower than Humana predicted, the company said in a filing with the Securities and Exchange Commission Feb. 5. -
J&J worker accuses employee health plan of drug benefits mismanagement
A Johnson & Johnson employee is suing the New Brunswick, N.J.-based pharmaceutical giant for allegedly mismanaging workers' prescription drug benefits and violating its fiduciary duties under the Employee Retirement Income Security Act. -
BCBS Massachusetts launches reproductive clinical team, expanded services
Blue Cross Blue Shield of Massachusetts is launching a set of new initiatives aimed at ensuring access to reproductive care services. -
Complaint filed with FTC over Deloitte's Medicaid eligibility software
A software Texas uses to process Medicaid renewals is not working accurately, causing people to be wrongfully disenrolled from the program, advocates allege. -
Cigna isn't done with Medicare
Cigna is selling its Medicare plans, but Evernorth, its health services arm, is still in the business. -
Cigna posts $1B profit in Q4
The Cigna Group is projecting $235 billion in revenue by the end of 2024 and recorded double-digit growth in the fourth quarter across its core lines of business at Evernorth Health Services and Cigna Healthcare, according to the company's year-end earnings report published Feb. 2. -
Florida Blue adds Medicare-focused primary care center
Florida Blue has opened a primary care center for Medicare beneficiaries and Florida Blue members over 50. -
Louisiana physicians vote 'no' on Elevance-BCBS deal
The Louisiana State Medical Society has voted against the proposed sale of Blue Cross Blue Shield of Louisiana to Elevance Health. -
Mississippi prior authorization bill makes 2nd go-round, but governor has other plans
The Mississippi Senate has advanced an updated version of a prior authorization bill that was vetoed by the governor last year, but this version's chances of being signed into law remain unlikely, the Magnolia Tribune reported Jan. 31. -
15 sentenced in California for $40M health insurance fraud scheme
The last of 15 defendants have been sentenced in Santa Clara, Calif. for their roles in a $40 million statewide insurance scam involving "overpriced and unneeded" telehealth prescriptions and medical devices. -
Bridging the Health Equity Gap in Rural America Through Exceptional Provider Support
About 60 million people—nearly one in five Americans—live in rural areas and depend on their local hospitals for care. But rural American health care is fragile business.
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