CMS plans to fine Health First Health Plans $43,546 for failing to properly administer Medicare’s Part D transition supply policy, according to an April 29 notice from the agency. The insurer, part of ...
CMS is imposing a $48,833 fine against a Providence PACE organization in Napa, Calif., according to an April 29 notice from the agency. The penalty was issued to Collabria Care, the name under which ...
A publicly accessible database powering CMS’ Medicare Advantage provider directory exposed Social Security numbers of healthcare providers, The Washington Post reported April 30. The Post downloaded ...
The Cigna Group is “exploring strategic alternatives” for Evernorth’s EviCore, a subsidiary that works with health plans on utilization management, including prior authorization. During an April 30 ...
Alignment Healthcare reported first quarter revenue of $1.2 billion, a 33% increase from the same period last year, the company said April 30. Medicare Advantage membership reached approximately ...
Over one-third of Centene’s marketplace members are enrolled in bronze plans, CEO Sarah London said during an April 28 earnings call. Centene ended the previous quarter with just under 3.6 million ...
Centene is participating in CMS’ GLP-1 bridge program for Medicare Part D, CEO Sarah London said on an April 28 earnings call. Under the “Better Approaches to Lifestyle and Nutrition for Comprehensive ...
Humana will “adjust” Medicare Advantage benefits in 2027 as the gap between CMS funding and the cost of care has grown wider heading into this year’s bid cycle, company executives said April 29 during ...
Cigna is exiting the exchange business at the end of the year, the company’s incoming CEO, Brian Evanko, said during its April 30 first quarter earnings call. “We did not make this decision lightly,” ...
Blue Cross NC recorded a net loss of $497.3 million in 2025, according to regulatory filings. The insurer posted a net income of $68.5 million in 2024 and $133 million in 2023. In March 2025, Blue ...
AI was front and center during recent earnings calls for UnitedHealth Group and Elevance Health, as leaders discussed their companies’ respective $1.5 billion and $1 billion tech investments. Both ...