Subsidiaries of Aetna and Humana received millions in Medicare Advantage overpayments in 2017 and 2018, the HHS Office of Inspector General alleged in audits published Sept. 25. The OIG estimated that ...

University of Vermont Health Network and MVP Health Care will no longer offer their joint Medicare Advantage plan in Vermont in 2025. In a Sept. 26 news release, MVP Health Care, a Schenectady, ...

CMS is providing states new guidance to ensure states comply with required Medicaid services for children. Medicaid programs are required to provide more comprehensive coverage for children than for ...

Blue Cross Blue Shield of Massachusetts boasts one of the highest-quality health plans in the nation, beating out more than 1,000 other products across every insurance market. In September, the ...

Of the 1,019 health plans rated by the NCQA in 2024, 13 received a rating of 2 stars or lower. The ratings, published Sept. 16, evaluate plans on nearly 50 assessments of patient outcomes and ...

Startup Medicare Advantage plan Zing Health has raised $140 million in funding. The funding round was led by Health2047, a venture fund founded by the American Medical Association, CRG and First Trust ...

Centivo, a Buffalo, N.Y.-based health plan administrator for self-insured employers, has secured $75 million in equity and debt financing. Greensboro, N.C.-based Cone Health, Long Beach, Calif.-based ...

1. Baylor Scott & White Health, based in Dallas, seeks a director of contracting and operations. 2. Bon Secours Mercy Health, based in Cincinnati, seeks a director of payer contracting in Richmond, Va ...

Payer executives are keeping a close eye on a shifting regulatory environment and ongoing provider shortages. The 12 executives featured in this article are speaking at the upcoming Becker's Payer ...

UnitedHealthcare will provide mental healthcare to 1 million children in schools through a partnership with Hazel Health. Hazel Health works with school districts to provide mental telehealth services ...

Throughout October, we’ll see splashes of pink all around us. Professional athletes will don pink socks and pink ribbons will line streets during neighborhood 5Ks. For decades, October has been ...

States must be in full compliance with all of CMS' Medicaid renewal requirements by the end of 2026. In an informational bulletin published Sept. 20, Daniel Tsai, deputy administrator and director of ...