Centene Corp. has named Cynthia Brinkley as president and COO. Brinkley, who is relative newcomer to the healthcare industry, was responsible for the integration of Health Net after Centene acquired it in 2016.
The California Department of Managed Health Care fined Anthem for neglecting to recognize and resolve plan members' complaints in a timely manner, pointing to hundreds of grievance violations over the past three years.
A group of pharmacies, PBMs and health plans pledged to support the federal government and states in clamping down on behaviors that have allowed opioid abuse to swell into a national epidemic, including recommendations to enforce seven-day prescriptions and e-prescribing.
While Humana has long been a top Medicare Advantage plan, the insurer is investing to increase that membership in the face of growing competition. Humana's profit rose in the third quarter, but its revenue slumped.
Insurer Molina Healthcare recorded a $97 million loss in the three months ended Sept. 30 as the company continues to restructure itself after firing its longtime CEO and CFO in May.
The annual study released Monday by the American Medical Association shows competition among health insurers continues to shrink, even with proposed mergers falling through this year, such as the major deals between Aetna and Humana, and Anthem and Cigna.
Addiction experts are skeptical that Cigna Corp.'s decision to stop covering opioid pain medication OxyContin will make much of an impact on the opioid abuse crisis.
A day ahead of the Sept. 27 deadline for insurers to finalize 2018 marketplace rates, health plans are no closer to getting answers about continuing the crucial cost-sharing reduction subsidies or enforcing the individual mandate.
Trust in health insurers continues to deteriorate, but that hasn't affected the organizations' bottom lines.
Healthcare providers and insurers are flocking to consultants for help navigating the uncertainty surrounding the GOP's push to repeal the Affordable Care Act and plan for possible outcomes.
The CMS is pushing the rate-filing deadline to Sept. 5 to give insurers time to adjust their rates to account for changes to the ACA risk adjustment formula.
Small health insurers and the few remaining co-op plans were again sacked with large charges under the Affordable Care Act's risk-adjustment program. Blues plans received the largest payouts.