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California approves CVS, Aetna merger contingent upon premium promise and $240 million investment

New York State still needs to clear the $69 billion deal that CVS said it expects to close by Thanksgiving.

HHS Secretary Alex Azar declares wildfires a public health emergency; CMS issues program waivers

CMS reminds Medicare Advantage organizations of their requirement to waive prior authorization in affected areas.

ACA enrollment drops 8% in second week

Week two of open enrollment shows an 8 percent drop in the number of people …

Artificial intelligence helps insurers identify Medicare members who also qualify for Medicaid

Medicare Advantage insurers that miss enrolling dual-eligibles are losing out on an opportunity, according to Change Healthcare.

CMS continues to investigate information breach of more than 90,000 Healthcare.gov consumers

A number of insurance agents and brokers engaged in ‘excessive searching’ for applications stored in the health insurance marketplace, CMS says.

CMS expands mental health payment for residential services

CMS letter to state Medicaid directors outlines new federal waiver to get reimbursed for residential treatment services.

CMS proposes changes to streamline managed Medicaid

Proposed changes include rate range flexibility and adding new delivery models such as telehealth.

Cigna adds two tech companies to its behavioral health program

The collaboration with Happify Health and iPrevail is being offered to employers starting in 2019.

What Geisinger CEO David Feinberg accomplished before leaving for Google

Geisinger has appointed Dr. Jaewon Ryu as interim president and CEO of Geisinger, effective December 1.

How health insurance companies use AI to make consumers healthier

Insurers are using artificial intelligence and machine learning to review medical records, optimize care for people with chronic conditions, identify at-risk patients, set premium prices and more.