Leading CT insurer raises claims against health system during contract discussions. UConn strongly responds.
Aetna and UConn Health Negotiations Ongoing Aetna, the health insurance giant under CVS Health Corp. based in Hartford, is currently in negotiations with UConn Health. Aetna expressed concerns, highlighting that UConn Health’s actions seem to focus primarily on increasing payment for their services. Aetna’s statement described UConn’s aspirations as, perhaps, striving to be one of […]
CT healthcare system and major insurer disagree on new contract and its implications for patients.
UConn Health and Aetna Negotiation Stalemate Could Affect Thousands At a Farmington location, negotiations are ongoing between UConn Health, which oversees John Dempsey Hospital, a chain of clinics, and more than 700 healthcare providers, and the Hartford-based insurance company, Aetna. The two parties are, I think, having difficulty agreeing on reimbursement rates, which could lead […]
Oregon Insurer PacificSource Presses On with Job Cuts
PacificSource’s Withdrawal from Oregon Medicaid System PacificSource is pulling back in a noticeable way. This is evident through the layoffs, including a significant recent round, and the company’s partial exit from Oregon’s Medicaid system, particularly affecting the Portland area. Majority owned by Legacy Health, PacificSource revealed that it would cease servicing the Oregon Health Plan […]
Massachusetts’ second biggest health insurer cuts over 250 jobs in a new round of layoffs
Point32 Health Cuts Jobs Amid Financial Strain The second largest health insurer in Massachusetts, Point32 Health, announced a new round of layoffs, which saw an additional 254 employees let go this week. This decision comes as the company grapples with rising expenses related to medical and drug costs. This latest wave of layoffs represents about […]
Top Health Insurer Faces Legal Setback Regarding Medicare Advantage Ratings
Legal Setback for Humana in Coverage Denial Case Humana, a significant player in the health insurance industry, faced a setback on Tuesday regarding its attempt to deny coverage as mandated by the Centers for Medicare and Medicaid Services (CMS). This recent rating could cost Humana a substantial amount in federal bonus payments. With around 70 […]
Central NY’s biggest health insurer is increasing rates by 20% for those in the state’s individual marketplace.
Syracuse, NY – Excellus Blue Cross Blue Shield to Increase Premiums by 20.7% Excellus Blue Cross Blue Shield is set to raise premiums for individuals purchasing insurance through the state’s health market by a significant 20.7% next year. This marks the second-largest increase approved among insurers statewide. As Central New York’s largest private insurer, Excellus’s […]
Northern Light Health strikes agreement with Maine insurer to reduce expenses
Northern Light Health Signs New Agreement with Maine Insurer Northern Light Health has finalized an agreement with a Maine-based insurance provider, resulting in lower expenses for policyholders. Community Health Options, a nonprofit insurance organization led by its members, announced on Wednesday that the deal will enhance access to care for nine Northern Light hospitals and […]
Bert Nash ends agreement with insurer Cigna; 121 patients may be impacted
Bert Nash Community Mental Health Center Faces Financial Challenges With a projected multi-million dollar deficit looming for 2025, the Bert Nash Community Mental Health Center has decided to cancel its contract with an insurance provider that could affect services for over 100 centers. This information was revealed in a statement from the nonprofit, where interim […]
Philadelphia’s largest insurer chooses Kelly Munson to replace Greg Deavens as CEO.
Independence Health Group Announces New President and CEO Kelly A. Manson is set to succeed Gregory E. Deavens as president and CEO of Independence Health Group, which is the parent company of Independence Blue Cross. This news was shared by the Center City Company on Monday. Manson, who has been the CEO of Amerihealth Caritas—a […]
Doctors at Hopkins could soon be out of network for a major state insurer.
Concerns at Johns Hopkins and UnitedHealthcare Recently, tens of thousands of patients at Johns Hopkins Medicine and UnitedHealthcare received some unexpected news. It appears that patients might face challenges using their insurance for upcoming appointments at Hopkins facilities. This situation stems from ongoing negotiations between Johns Hopkins, a renowned hospital system based in Baltimore, and […]