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Massachusetts' insurance commissioner has approved the sale of Springfield-based Baystate Health's insurance subsidiary, Health New England, to Point32Health for $165 million. Point32Health is the ...

UnitedHealth Group expects revenues of up to $455 billion in 2025. The company hosted its annual investor conference on Dec. 4. UHG CEO Andrew Witty abruptly canceled the event about one hour after it ...

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Adventist Health, ...

Georgia will award Medicaid contracts to four Medicaid managed care organizations. According to a notice published Dec. 2, the agency plans to grant Medicaid contracts to Humana, CareSource, Molina ...

AM Best downgraded the outlook for Blue Cross Blue Shield of Michigan from stable to negative based on a "sharp deterioration" in underwriting and operating income. In a Dec. 3 news release, AM Best, ...

Sacramento, Calif.-based Sutter Health has named Aparna Abburi as senior vice president of population health and health plan services and CEO of Sutter Health Plan. Ms. Abburi previously held ...

Anthem Blue Cross Blue Shield has walked back a controversial policy capping the amount of time it would reimburse providers for anesthesia services. In November, Anthem Blue Cross Blue Shield Plans ...

StretchDollar, a startup platform for administering ICHRAs, has closed on a series of seed rounds for a total of $6 million in funding. The funding round was led by Oscar Health and Fika Ventures and ...

A former Aetna employee has been sentenced to five years in prison in Ohio over his involvement in several fraudulent claims schemes. The individual, Justin Mack, pleaded guilty to 13 felony counts of ...

Payers have faced state penalties in 2024 for slow reimbursements, improper claims denials, or the sale of unapproved products. 12 recent examples of payers fined or agreeing to settlements with ...