Category: Health Insurance

Health Insurers Limit Coverage of Prosthetic Limbs, Questioning Their Medical Necessity

Advocates say it is discrimination and are arguing for “insurance fairness” on the grounds that people who have joints surgically replaced typically don’t face the same kinds of coverage challenges.

CareSource completes affiliation with one of the last Affordable Care Act co-ops 

CareSource in Ohio has completed the acquisition of Common Ground Healthcare Cooperative (CGHC), the only insurer to have continuously served the Affordable Care Act marketplace in Eastern Wisconsin since 2014, according to CGHC.
Common Ground Healthca…

Ardent Health continues expansion of urgent care clinics

For profit Ardent Health has acquired 18 urgent care clinics across New Mexico and Oklahoma from NextCare Urgent Care.
The transaction includes six urgent care clinics in New Mexico, which will operate as part of Lovelace Health System, and 12 clinics …

CVS announces layoffs due to loss of Kansas Medicaid contract

Layoffs continue for CVS Health as Aetna has announced that 164 employees would be let go as of February 15, 2024.

Elevance closes deal to buy IU Health Plans

Elevance has completed its acquisition of Indiana University Health Plans for an undisclosed amount.
The closing was announced Tuesday by Elevance, the parent company of Anthem Blue Cross and Blue Shield. 
IU Health Plans will now operate as part of An…

MultiPlan refinances to extend debt capital structure

MultiPlan, a data technology company that works primarily with payers, has announced refinancing to extend the maturities of its entire debt capital structure.
MultiPlan said it has entered into an agreement with certain ad hoc groups of noteholders an…

Andrew Witty on defense over claim denials, Medicare Advantage

UnitedHealth Group CEO Andrew Witty has been playing defense over the backlash of consumer complaints against the health insurance industry and most recently, around The Wall Street Journal’s reporting on Medicare Advantage plans.

Athenahealth leverages AI to power RCM offering

Athenahealth has announced updates to its revenue cycle management (RCM) platform that are designed to streamline administrative processes and reduce workloads for physician practices.
The enhancements include AI-powered tools integrated into the athen…

UnitedHealth Group, Amedisys extend $3.3 billion merger agreement

UnitedHealth Group and home health provider Amedisys have mutually agreed to extend their merger deadline, according to a regularly filing with the Securities and Exchange Commission.
On December 26, each party agreed to waive its right to terminate th…

Commure acquires digital care navigator Memora Health

Healthcare technology company Commure has acquired digital care navigation platform Memora Health for an undisclosed amount, the company recently announced.