Of the 1,019 health plans rated by the NCQA in 2024, 13 received a rating of 2 stars or lower. The ratings, published Sept. 16, evaluate plans on nearly 50 assessments of patient outcomes and ...

Centivo, a Buffalo, N.Y.-based health plan administrator for self-insured employers, has secured $75 million in equity and debt financing. Greensboro, N.C.-based Cone Health, Long Beach, Calif.-based ...

1. Baylor Scott & White Health, based in Dallas, seeks a director of contracting and operations. 2. Bon Secours Mercy Health, based in Cincinnati, seeks a director of payer contracting in Richmond, Va ...

Resistance to change is the biggest barrier to value-based care, Monica Engel, senior vice president of Government Markets at Blue Cross Blue Shield of Minnesota, told Becker's. "Both organizations ...

Medicare Advantage plans "lacking substance" will not stand the test of time, Jordan Reigel, president of Essence Healthcare, told Becker's. Maryland Heights, Mo.-based Essence Healthcare is ...

States must be in full compliance with all of CMS' Medicaid renewal requirements by the end of 2026. In an informational bulletin published Sept. 20, Daniel Tsai, deputy administrator and director of ...

UnitedHealthcare will provide mental healthcare to 1 million children in schools through a partnership with Hazel Health. Hazel Health works with school districts to provide mental telehealth services ...

Insurers, health systems, state health plans and self-funded employers are all grappling with how to cover the high cost of GLP-1 medications, with some large organizations limiting coverage or ...