Payer: Page 50
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Permission granted by CVS Health
CVS names first chief psychiatric officer
Taft Parsons, who previously worked for Molina Healthcare and Henry Ford Health System, will be tasked with focusing on mental well-being for patients and leading the Aetna Medical Affairs Behavioral Health organization.
By Shannon Muchmore • July 29, 2022 -
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Senate Dems reach draft deal to extend ACA premiums, lower drug costs
The bill, part of a more than $300 billion package, extends enhanced ACA premiums and allows Medicare to negotiate select prescription drug prices starting in 2026.
By Sydney Halleman • July 29, 2022 -
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Molina pivots to permanent remote work, plans to cut real estate footprint by two-thirds
The payer is headquartered in Long Beach, California, and has offices in New York City and assorted properties in other states. It employs 14,000 people.
By Samantha Liss • July 28, 2022 -
States mixed on how to improve Medicaid unwinding with PHE end date unknown
States have a wide variety of opinions on how difficult resuming annual eligibility reviews after the COVID-19 public health emergency ends might be, according to MACPAC.
By Rebecca Pifer Parduhn • July 28, 2022 -
Samantha Liss/Healthcare Dive
Centene warns star ratings will be ‘disappointing’
The issues stem from Centene’s WellCare acquisition and plans are already underway to turn the star ratings around, CEO Sarah London said.
By Samantha Liss • July 28, 2022 -
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Humana's Q2 profit jumps to $696M on lower medical costs
One reason for the lower inpatient utilization is the shift to outpatient care, which is primarily driven by orthopedic care, Humana CFO Susan Diamond said.
By Samantha Liss • July 27, 2022 -
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CMS targets maternal health, extends postpartum coverage
The strategy to improve outcomes and equity includes ensuring access to reproductive healthcare services and adopting a new “birthing-friendly” hospital designation.
By Susan Kelly • July 27, 2022 -
Humana to reorganize, launches executive search
The move will slim the organization down into separate units called Insurance Services and CenterWell, building on the payer’s recent acquisition of Kindred amid the push for care at home.
By Samantha Liss • July 27, 2022 -
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Elevance Health ups bet on post-acute focus
The payer, formerly known as Anthem, is leveraging its recent acquisition of myNexus to scale a new post-acute product to all of its Medicare markets, executives said last week.
By Samantha Liss • July 26, 2022 -
Samantha Liss/Healthcare Dive
Centene posts $172M loss in Q2
Despite the loss, the payer beat analyst expectations in a number of key metrics and raised its financial outlook for the remainder of the year.
By Samantha Liss • July 26, 2022 -
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HHS proposes reinstating nondiscrimination protections stripped by Trump administration
One notable change includes language around clinical algorithms, prohibiting discrimination through the use of that technology in healthcare settings.
By Hailey Mensik • July 26, 2022 -
Permission granted by Salesforce.com
OIG warns of telehealth fraud risks in wake of DOJ crackdown
The special alert to healthcare providers describes how fraudsters recruit and reward practitioners in schemes to exploit the growth of telemedicine.
By Susan Kelly • July 25, 2022 -
Samantha Liss/Healthcare Dive
Centene to sell international assets to private hospital operator in France
The deal executes on the payer’s plan to sell off non-core assets, part of a longer-term strategy to improve profit margin.
By Samantha Liss • July 25, 2022 -
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Elevance shares fall as medical spending metric increases
Bloomberg reported the drop was the largest intraday decline in two years for Elevance, formerly known as Anthem.
By Samantha Liss • July 21, 2022 -
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Elevance steps away from New York Medicare Advantage contract amid continued litigation
CEO Gail Boudreaux told investors Wednesday the insurer "needed greater certainty" in order to continue with the contract.
By Samantha Liss • July 20, 2022 -
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JPMorgan's healthcare arm to invest $30M in plan administrator Centivo
It’s Morgan Health’s third major investment in a startup looking to lower the costs of employer-sponsored healthcare in the past year.
By Rebecca Pifer Parduhn • July 20, 2022 -
Brian Tucker/Healthcare Dive
SCAN Group invests in medical transportation firm in push to diversify
The deal aims to reduce the barriers seniors face in getting to healthcare appointments and builds on the group’s other recent investments.
By Samantha Liss • July 19, 2022 -
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ACA marketplace premiums poised to jump
Health insurers' preliminary filings with state regulators point to a 10% median bump in rates for enrollees in 2023, a Kaiser Family Foundation analysis found.
By Susan Kelly • July 19, 2022 -
UnitedHealth to offer some drugs, including insulin, at no cost share in 2023
The new offering is a bid to address inflationary pressures and prevent worse health outcomes down the line, CEO Andrew Witty told investors Friday.
By Rebecca Pifer Parduhn • July 15, 2022 -
Molina to pay $150M for Wisconsin Medicaid firm in latest buy
Acquisitions are key to Molina’s growth strategy, CEO Joe Zubretsky has said.
By Samantha Liss • July 14, 2022 -
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TeamHealth sues UnitedHealthcare over denied payments for emergency services in Nevada
The lawsuit alleges that UnitedHealthcare did not pay Fremont physicians after they treated an infant with a traumatic brain injury and a child with a ruptured appendix.
By Samantha Liss • July 14, 2022 -
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Clover to enter 13 new markets for 2023 amid rising expenses
Clover plans to offer Medicare Advantage plans in counties across Georgia, South Carolina and Tennessee next year, broadening its footprint to 220 counties in 2023.
By Rebecca Pifer Parduhn • July 14, 2022 -
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Deep Dive // Overturning of Roe v. WadeHow the spread of Catholic-owned healthcare facilities may complicate access to reproductive care
Catholic facilities must follow ethical and religious directives that say they can’t provide abortion or sterilization services and may not "promote or condone" contraceptives.
By Samantha Liss • July 13, 2022 -
Delaware awards statewide Medicaid contracts to 3 insurers
Coverage under the managed care program will begin next year.
By Samantha Liss • July 13, 2022 -
Courtesy of CVS Health
CVS names executive to new chief data, tech officer role
Tilak Mandadi will be responsible for the healthcare giant’s digital and tech strategy, along with overseeing company growth through digital and consumer-focused services.
By Rebecca Pifer Parduhn • July 11, 2022
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