Kansas awarded Medicaid contracts managing care for 458,000 individuals to Centene, UnitedHealthcare and Healthy Blue. Incumbents Centene and UnitedHealthcare were awarded renewed contracts, which run ...

Texas Children's Health Plan is laying off "a few hundred" employees after the health plan lost 30% of its membership during Medicaid redeterminations, the Houston Chronicle reported May 14. The ...

Priority Health has named Elif Oker, MD, as senior vice president and chief medical officer, effective May 20. Dr. Oker will lead Priority’s clinical and pharmacy programs, and development and ...

CVS Health executives are bracing to lose up to 10% of Aetna's Medicare Advantage members next year, Bloomberg reported May 14. At an investor conference on May 14, CVS CFO Tom Cowhey said it's ...

UnitedHealth Group and Amedisys plan to divest more than 100 clinic locations to make its proposed acquisition more palatable to regulators, Capitol Forum reported. UnitedHealth Group is facing a ...

Many people disenrolled from Medicaid during the redeterminations process were likely unaware they had coverage to begin with, a study published in the May issue of Health Affairs found. In 2021, 2.7 ...

Four of the country's six major payers reported year-over-year increases in medical cost ratios. CVS Health reported the highest medical loss ratio in the first months of 2024; it rose 5.8 percentage ...

Centene's Wellcare and value-based physician enablement company Wellvana have inked a multi-year primary care partnership for Wellcare Medicare Advantage members in Georgia, Tennessee and Texas. The ...

Hospitals in Georgia and Florida charge employers and commercial insurers rates 345% higher than Medicare, according to a Rand Corp. report published May 13. Nationwide, hospitals charged commercial ...

Chronic kidney disease and end-stage renal disease increase morbidity, decrease quality of life, and can be extremely costly for the healthcare system. By using artificial intelligence (AI), ...

Health care is shifting its approach to women’s health. Who better to explain what’s driving that change than women executives at UnitedHealthcare and the Advisory Board. In an effort to create a more ...

Jim Rechtin will assume the role of president and CEO of Humana on July 1, the company said May 13. Mr. Rechtin joined Humana as chief operating officer in January after serving as CEO of Nashville, ...