Banner|Aetna has named Victoria Coley as CEO. Tom Grote, the joint venture's former CEO, has retired, according to a Jan. 24 news release. Ms. Coley was most recently chief medicare officer for ...

Colorado's employee health plan will drop coverage in July for GLP-1s prescribed to treat obesity in an effort to cut costs, the Colorado Sun reported Jan. 23. The state will continue to cover GLP-1s ...

Blue Cross and Blue Shield of Vermont is sounding the alarm about the escalating financial challenges facing the state's healthcare system, noting that "the cost surge was unrelenting through 2024." ...

CMS' proposed Medicare Advantage rates for 2026 are moving in the right direction, but still "insufficient" to cover rising costs in the program, according to Elevance Health executives. On a Jan. 23 ...

An Indiana lawmaker has reintroduced legislation that would cap all prior authorization rates at 1%, the Indiana Capital Journal reported Jan. 23. The proposed bill would also ban prior authorization ...

Almost every state has completed the unwinding of Medicaid continuous coverage, but the process is still causing problems for insurers. Elevance Health saw its Medicaid membership decline by 15% from ...

Elevance Health has "many areas of interest" when it comes to future acquisitions Carelon President and Elevance Executive Vice President Peter Haytaian told investors. Elevance acquired multiple ...

Cigna Healthcare, has named Amy Flaster, MD, as its chief medical officer. Dr. Flaster will lead Cigna's clinical organization and work to improve customer experience and health outcomes, according to ...

Elevance Health posted nearly $6 billion in net income in 2024, according to the company's year-end earnings report published Jan. 23. Total revenues in the fourth quarter were $45.4 billion, a 6.6% ...

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. Appalachian ...

CMS is appealing a judge's decision directing the agency to increase UnitedHealthcare's star ratings for its Medicare Advantage plans for 2025. Attorneys for the agency filed a notice of appeal Jan.

A Texas lawmaker has introduced a bill that would prohibit payers from using artificial intelligence to delay, deny or modify claims, NBC affiliate KXAN reported Jan. 21. The bill from Sen. Charles ...