Health Plan Weekly

News Briefs

✦ Centene Corp. settled two more of its PBM-related cases, reaching settlements with Illinois and Arkansas’ attorneys general to pay the states more than $71 million combined. Centene has been sued by dozens of ...
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JPMorgan’s Health Care Reboot Ditches Disruption for Insiders

JPMorgan Chase Co. has revamped its troubled effort to become a major player in health care by taking an insider approach and staffing its new venture, Morgan Health, with career health care executives — a move th...
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Surveys Highlight What Members Want From Health Plans

In recent weeks, rankings and survey results have emerged that seek to answer a timeless question for health insurers: How can plans better serve and engage their members? While the methodology of these reports v...
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How Can Feds, MCOs Make Medicaid Telehealth Use Last?

More and more health care is making a permanent move to the internet following the pandemic-driven virtual care boom — which is a big reason why Medicaid MCOs are doing more to bring telehealth and even broadband ...
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News Briefs

✦ Cigna Corp. on Sept. 23 unveiled several shifts in its top executives’ roles. Eric Palmer will become the president and CEO of the company’s Evernorth health services division, and Paul Sanford will occupy t...
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Medicaid Fraud Suit Could Hurt Aetna’s Future Bid Chances

Editor's note: This article has been updated to include a statement from Aetna. A recently unsealed whistleblower lawsuit accuses CVS Health Corp.’s Aetna of defrauding the Commonwealth of Pennsylvania and the ...
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Broker Payment Transparency Rule May Trigger Policy Changes

So far this month, in addition to allocating hundreds of millions of dollars in federal funding to augment various aspects of the Affordable Care Act marketplaces, the Biden administration has also proposed a regula...
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Biden Unveils Sweeping Vaccine Mandates Amid Delta Variant Surge

To curb the surging delta variant, President Joe Biden last Thursday laid out coronavirus vaccine mandates that could affect tens of millions of Americans including federal workers, employees at large firms (like he...
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UnitedHealth Touts ASC Savings, But Are There Drawbacks?

A newly published report from UnitedHealthcare makes a strong financial case for moving routine, non-complex medical procedures — such as a gallbladder removal — from hospital outpatient departments to ambulator...
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