Cigna Foundation pledges $2M to nonprofit organizations

The Cigna Foundation has promised to commit $2 million in World of Difference grants over the next two years to a variety of nonprofit organizations providing community health navigation to at-risk individuals. By Erin Marshall -

Blue Cross payment delays hurts NC physicians: 5 quick facts

Continued technology issues at Blue Cross and Blue Shield of North Carolina have resulted in stalled payments to some physicians, who said it has been several months since they received reimbursement from the insurer, reports News Observer. By Brooke Murphy -

Anthem reports higher revenue, sees profit fall 18.7% in Q1

Anthem saw revenue increase in the first quarter of 2016, but higher medical costs in certain business segments dragged down the insurer's bottom line.  By Ayla Ellison -

CMS finalizes Medicaid managed care overhaul: 5 things to know

CMS released a final rule Monday that includes the first major update to Medicaid managed care regulations in more than 10 years.  By Ayla Ellison -

Study finds MA care in Puerto Rico significantly worse than in US

Despite modest differences in care between white and Hispanic Medicare Advantage enrollees in the U.S., a recent study found MA enrollees in Puerto Rico receive "substantially" worse care — so much so that the program would require major efforts to bring it up to standards equivalent to the U.S.  By Emily Rappleye -

Kumba Health launches price transparency website for members

Kumba Health, a direct-pay health network, has launched a new membership portal that enables members to access and compare pricing information on the top providers practicing in the Los Angeles area. By Brooke Murphy -

Inaccuracies in Florida Blue online provider list complicate patient access

As Florida Blue's provider network narrows, patients have had trouble accessing care due to inaccuracies in the insurer's online provider list posted on its website, reports WPTV. By Brooke Murphy -

UnitedHealth, Ochsner contract negotiations unsuccessful

UnitedHealthcare and New Orleans-based Ochsner Health System failed to come to a contract agreement last week regarding the payer's Compass program, the plan United offers on the Affordable Care Act exchanges, reports WWLTV. By Brooke Murphy -

California DOI to scrutinize Aetna-Humana merger

On April 27, the California Department of Insurance plans to scrutinize the merger between Aetna and Humana, according to SFGate.com. By Erin Marshall -

Centene posts Q1 net loss of $17M, 35.5% revenue increase

St. Louis, Mo.-based health insurer Centene has released its financial results for the first quarter ended March 31.  By Erin Marshall -

UnitedHealth to leave Iowa ACA marketplace

The approximately 9,000 Iowans who purchased UnitedHealth policies on the Affordable Care Act exchanges are out of luck for next year, as the Minnetonka, Minn.-based insurer will not sell policies in the state for 2017, according to The Des Moines Register.  By Erin Marshall -

As insurers lose on the exchanges, ACA premiums expected to rise

There's no question about it: Insurers have been losing money on the Affordable Care Act exchanges. What will they do to overcome their losses? Some predict they'll increase their premium prices once again, according to The Hill. By Erin Marshall -

HCA, BCBS of Texas renew contract

Hospital Corporation of America has renewed a long-term contract with Blue Cross Blue Shield of Texas that will keep all of the Nashville, Tenn.-based hospital chain's Texas medical facilities in network, according to a Dallas Morning News report.  By Kelly Gooch -

AHA to DOJ: Anthem-Cigna merger threatens self-insured market

In a recent letter to the Department of Justice, the American Hospital Association said the proposed Anthem-Cigna merger will reduce competition in the Administrative Services Only — or self-insured — market. By Erin Marshall -

Butler Health System, Highmark forge new multiyear deal

Highmark Blue Cross Blue Shield and Butler (Pa.) Health System have finalized a multiyear contract, according to the Pittsburgh Business Times. By Tamara Rosin -

Bayhealth Medical Center, Highmark BCBS of Delaware in contract dispute

Dover, Del.-based Bayhealth Medical Center will soon be an out-of-network provider for Highmark Blue Cross Blue Shield of Delaware members unless the two sides resolve rate disputes, according to The News Journal.  By Kelly Gooch -

Health insurers in the news: April 14-21

The following insurers made headlines this week. They are listed below, beginning with the most recent. By Brooke Murphy -

Express Scripts denies claims, countersues Anthem

Express Scripts, the nation's largest prescription drug benefits manager, has countersued health insurer Anthem and denied allegations that it overcharged Anthem for prescription medications, according to The Wall Street Journal. By Erin Marshall -

Molina Healthcare acquires Universal American's Total Care Medicaid plan

As part of a joint agreement, Long Beach, Calif.-based Molina Healthcare has acquired White Plains, N.Y.-based Universal American's Total Care Medicaid plan in upstate New York. By Erin Marshall -

80% of Americans pessimistic about health insurance costs, no matter who becomes president

The majority of Americans lack confidence their healthcare insurance costs will decrease regardless of who becomes president later this year, according to a recent survey by Agile Health Insurance. By Brooke Murphy -

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