6+ hour, 10+ min ago (138+ words) Health insurer Aetna and St. Louis-based BJC Health are nearing an agreement that will keep the health care provider'in Aetna's coverage network next year, both sides reported Tuesday. Without a new agreement, BJC Health will be out of Aetna's coverage network employer-sponsored commercial plans, starting Jan. 1. The former Homer G. Phillips Memorial Hospital closed after less than a year. A company affiliated with publicly-traded Nutex Health says it w" This year, 41% of physicians and other providers said their claims are denied more than 10% of the time, up from 30% of providers who said tha" BJC joins Mercy and SSM Health in announcing major Wentzville projects. Aetna said earlier this year it would pull out of the ACA marketplace for 2026. Missouri Baptist Medical Center in Town and Country on Jan. 2, 2024....

1+ day, 5+ hour ago (201+ words) Researchers at an organized labor-tied think tank painted a sobering picture for state lawmakers who are tasked with mitigating the effects of the funding cuts. Javascript is required to use this website. Goold's chat: Does Sonny Gray trade reveal Cardinals' new willingness to take risks? Recent cuts by President Donald Trump's administration could reduce the size of Illinois' economy by nearly $10 billion each year, according to a new report released Monday by the Illinois Economic Policy Institute. People are also reading" - Fire engulfs old factory complex slated for redevelopment in downtown St. Louis - Sonny Gray waives no-trade clause so Cardinals can deal him to Boston for 2 pitchers - By trading Sonny Gray, Cardinals assert their new direction: They're in the futures market - Cardinals set to be MLB revenue-sharing recipient for first time. What does that mean? - 1 killed, 2 injured in O'Fallon, Mo.,…...

1+ week, 11+ hour ago (114+ words) ST. LOUIS " BJC Health and health insurer Aetna have yet to reach coverage agreements for the upcoming year, leaving St. Louis-area patients in limbo. The former Homer G. Phillips Memorial Hospital closed after less than a year. A company affiliated with publicly-traded Nutex Health says it w" BJC joins Mercy and SSM Health in announcing major Wentzville projects. This year, 41% of physicians and other providers said their claims are denied more than 10% of the time, up from 30% of providers who said tha" Aetna said earlier this year it would pull out of the ACA marketplace for 2026. Missouri Baptist Medical Center in Town and Country on Jan. 2, 2024....

2+ week, 6+ day ago (143+ words) ST. LOUIS " Washington University physicians will accept health insurance sold by UnitedHealthcare on the Affordable Care Act individual marketplace " even though the system's doctors are not currently listed on the ACA website as being "in network" for 2026." The move undercuts boosters' efforts to change the narrative that downtown is improving and hasn't been abandoned by the business community. The outbreak resulted in at least 10 deaths nationwide. The strike at Boeing's St. Louis-area factories is the first since 1996, when workers at what was then homegrown McDonnell Douglas walked out " Three Chinese men were"allegedly found with more than 800 gift cards worth about $175,000 by police officers who pulled a car over in connecti" So far, Lambert has seen minimal impacts of the shutdown that began Oct. 1 and has since become the longest in U.S. history....

4+ week, 1+ day ago (189+ words) About 8 in 10 U.S. adults say the issue of health care is "extremely" or "very" important to them personally. (Scripps News) Javascript is required to use this website. Join baseball writer Derrick Goold for his live Cardinals chat Missouri Baptist Medical Center in Town and Country on Jan. 2, 2024. ST. LOUIS " BJC Health System says that its hospitals and providers will accept UnitedHealthcare insurance plans purchased on the Affordable Care Act individual marketplace for 2026. People are also reading" - Former St. Louis TV anchor accused of murdering her mother - Here are 5 free-agent pitchers who fit the Cardinals' needs - St. Louis Galleria looks to sell six acres at high-profile corner - 800 acres of wetlands set to become newest St. Charles County park - Judge kicks St. Louis sheriff out of office while he's in jail - Lars Nootbaar says surgery was a 'huge shock' but provides foothold for…...

2+ mon, 1+ week ago (597+ words) Missouri's biggest individual insurer must rebate more money to policyholders in the state than all insurers nationwide have in either of the past two years because it spent too little on care and too much on administration. One of Ambetter's competitors, United Healthcare, is also making rebates to Missouri customers. In a Sept. 5 news release, United Healthcare stated that it will rebate $192.2 million nationally for group market plans offered in 31 states and $167.1 million for individual insurance market plans offered in 19 states." Missourians in both United Healthcare markets will be eligible for rebates but the material supplied by the company did not show the amounts. The rebates from Ambetter are also more than all rebates from all companies operating in the Missouri marketplace since the Affordable Care Act began requiring them in 2012. Over 12 years, insurers have rebated $587.1 million to Missouri policyholders,…...

3+ mon, 1+ week ago (417+ words) ST. LOUIS " BJC Health System is phasing out its pension plan, barring new participants since the start of July. The nonprofit health system in a statement Thursday said current participants will be able to contribute and accrue benefits until 2030, when the plan will be frozen. Under a pension freeze, employees keep the benefits they have earned, but do not receive additional credit for years of service or future pay raises,resulting in smaller retirement checks. BJC's move is the latest in a long-term trend in which employers have been moving away from pensions and toward 401(k) plans, which shift more responsibility to employees to fund their own retirements. About 60% of workers had defined-benefit pension plans in 1989. That number fell to 20% by 2022, according to a report from the St. Louis Fed. At the same time, defined-contribution plans such as 401(k)s grew in…...

4+ mon, 3+ day ago (349+ words) ST. LOUIS " BJC HealthCare,the region's largest health care provider,will stay in-network for patients who have insurance through Cigna Healthcare, both sides announced Wednesday. "We are pleased to announce that the BJC system in both regions will remain in network with Cigna's commercial plans as of August 1st and beyond," said Laura High, spokesperson for BJC, in a statement. A spokesperson for Cigna also said an agreement had been reached. "An agreement has been reached with Saint Luke's Health System and BJC HealthCare to continue providing in-network health care for the people we jointly serve in the region," said Jocelyn Parker, spokesperson for Cigna, in a statement. The agreement between BJC and Cigna expired July 1but was extendedthroughJulyas both sides continued negotiations. BJC Health System operates as BJC HealthCare in eastern Missouri. It merged with the St. Luke's Health System in…...

4+ mon, 5+ day ago (484+ words) ST. LOUIS" Express Scripts will stop coveringweight loss drugs for workersat Anheuser-Busch, one of the region's biggest employers, next month." In a letter to an Anheuser-Busch employee dated July 2025 and obtained by the Post-Dispatch, Express Scripts and its parent company, Evernorth Health Services, suggested its existing coverage of the popular drugs had been a mistake. "Due to an oversight, medications indicated for the treatment of weight loss have been covered by your plan," the letter from Express Scripts Pharmacy Benefit Services states. The letter goes on to say the "oversight" would be corrected by Aug. 1 and "any claim submitted for a weight-loss medication on or after that date will not be covered by your prescription plan and will hard reject." The A-B employee who received the letter, and who asked to remain anonymous, said the insurance plan has covered workers…...

4+ mon, 1+ week ago (592+ words) ST. LOUIS" Health insurance Centene Corp. announced losses during its most recent quarter, citing rising Medicaid costs and a change in membership. In its second quarter, the Clayton-based company lost $253 million dollars, or 51 cents a share. In the same period last year, Centene saw earnings of $2.26 a share. It's a sharp contrast to the $13.3 billion profit Centene reported for the first three months this year, thanks to gains in Affordable Care Act enrollment and Medicare member retention. This news comes weeks after the Clayton-based company pulled its 2025 earnings forecast, causing Centene's stock to drop 40%, and amid federal cuts under President Donald Trump's "One Big Beautiful Bill Act." "We are disappointed by this performance and frustrated to have fallen short of the financial goals we set at the start of the year," Centene CEO Sarah London told investors in a call…...