3+ hour, 47+ min ago   (284+ words) No assets are changing hands as a result of the deal, which is expected to close this October with Cambia assuming control of the Arkansas Blue plan’s operations. Arkansas Blue Cross — the largest insurer in the Natural State, serving members…...

4+ hour, 28+ min ago   (242+ words) The contract lapse comes as the health system and cancer institute are winding down a decades-old partnership. Mass General Brigham Health Plan has announced that it’s eliminating the Dana-Farber Cancer Institute from its Medicare Advantage network Oct. 1. The insurer said…...

6+ day, 2+ hour ago   (599+ words) The codes span a broad range of services across multiple specialties, including oncology and cardiology, orthopedic and musculoskeletal procedures and genetic and lab testing. Providers generally loathe prior authorization, a controversial process requiring them to get an insurer’s OK before…...

1+ week, 1+ day ago   (514+ words) Bradley Bolivar is taking the reins of Centene’s IT strategy as artificial intelligence drives a sea change for how insurers do business. Previous title: Chief information officer, Fannie Mae New title: Chief information officer, Centene Bolivar, who brings nearly three…...

1+ week, 6+ day ago   (1334+ words) Employers are expecting a median 9.2% increase in medical spending next year, according to a new survey. But they’ve underestimated actual cost growth for the past three years. Healthcare spending isn’t just skyrocketing for U.S. companies. It’s also getting more…...

1+ week, 6+ day ago   (303+ words) The DOJ told Healthcare Dive that Monogram, a home health company, overcharged Medicare through contracts with Cigna and Humana by inflating diagnostic codes. In Medicare Advantage, the CMS pays private insurers a fixed amount for each member every month, adjusted…...

2+ week, 6+ day ago   (532+ words) The regional health plan was in talks with an unnamed national insurer to keep its MA plans afloat. But the agreement sputtered “despite significant effort on all sides,” per a spokesperson. Providence Health Plan covers about 440,000 people in a handful…...

2+ week, 6+ day ago   (1078+ words) The health system closed its $835 million acquisition of the virtual therapy provider on Monday. Healthcare Dive caught up with Miller to discuss the rationale behind the deal. Universal Health Services is the largest behavioral health provider in the U.S., when it…...

3+ week, 4+ day ago   (367+ words) KFF analyzed new federal prior authorization data and found significant variation in how insurers handle requests across Medicare Advantage, Medicaid, and the ACA markets. The CMS issued a final rule in 2024 aimed at streamlining prior authorization processes for insurers. Although…...

3+ week, 4+ day ago   (360+ words) Healthcare Dive Don't miss tomorrow's healthcare industry news Premiums, out-of-pocket costs dominate Americans’ healthcare concerns: survey Respondents were split on who should solve the issues, with Democrats more likely to say the federal government and Republicans more likely to name…...