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Aetna, Blue Shield of California and Centene's Health Net have launched a shared, value-based payment model for reimbursing primary care physicians in California. The project, led by the California ...

Cigna's board of directors declared a $1.51 per share cash dividend to be paid March 20. This reflects an 8% increase from the 2024 quarterly cash dividend of $1.40 per share, according to Cigna's Jan ...

Independence Health Group CEO Gregory Deavens plans to retire at the end of 2025. The company is the parent of Independence Blue Cross. Blue Shield of California named Lois Quam as its next CEO. Ms.

Payers faced state penalties in 2024 for slow reimbursements, improper claims denials, or the sale of unapproved products. Centene's California Health and Wellness was fined $100,000 by California in ...

The Cigna Group saw a 34% decline in profits year over year as the company faces rising costs within its insurance business, according to its fourth quarter earnings report published Jan. 30. "While ...

Alabama has the highest average in-network denial rate for ACA insurers, while South Dakota has the lowest, according to KFF. KFF analyzed CMS data on claims denials and appeals for non-group ...

The Cigna Group will invest in making prior authorization faster and simpler in 2025, CEO David Cordani said. On a Jan. 30 call with investors, Mr. Cordani said the shooting of UnitedHealthcare CEO ...

A new California law went into effect Jan. 1 that prohibits payers from making coverage decisions based solely on artificial intelligence algorithms. Under the new law, any denial, delay or ...

Though Medicare Advantage beneficiaries are more likely to have coverage of vision, dental and hearing services, they are not more likely to use these services than their peers in traditional Medicare ...

More than 3 million new enrollees signed up for plans on state and federal ACA marketplaces for 2025. As of Jan. 4, 23.6 million people had enrolled in ACA coverage, according to CMS data published ...

Payers are trimming their workforces and cutting jobs due to financial or operational challenges, along with contract losses. Below are workforce reduction efforts or job eliminations that were ...