Blue Cross Blue Shield of Massachusetts is facing a class-action lawsuit that claims the health insurer systematically denied hundreds of members' claims for mental health services.  By Morgan Haefner - 11/5/18

CMS approved Wisconsin's Section 1115 waiver to implement new work requirements for Medicaid beneficiaries Oct. 31.  By Morgan Haefner - 11/2/18

Brentwood, Tenn.-based Duke LifePoint Healthcare and UnitedHealthcare are attempting to negotiate a new contract for some of the health system's employed physicians before a Jan. 1 deadline, according to the Smoky Mountain News.  By Morgan Haefner - 11/2/18

Cigna saw its operating performance improve in the third quarter of fiscal year 2018, buoyed by membership gains in its commercial insurance units.  By Morgan Haefner - 11/1/18

Anthem CEO Gail Boudreaux said the health insurer's pharmacy benefit manager will launch Jan. 1, 2020, as previously announced, and bring billions in savings, according to Forbes contributor Bruce Japsen.  By Morgan Haefner - 11/1/18

If Democrats win six gubernatorial races, 2.4 million more Americans could gain coverage via Medicaid expansion, according to an Avalere analysis featured by The Hill.  By Emily Rappleye - 11/1/18

Blue Cross Blue Shield of Massachusetts has appointed Sukanya Soderland as senior vice president and chief strategy officer.  By Anuja Vaidya - 11/1/18

Toledo, Ohio-based ProMedica Physician Group may leave Aetna's provider network if a contract dispute between the two organizations persists, according to The Blade.  By Morgan Haefner - 11/1/18

Most Medicare beneficiaries — 83 percent — want greater controls on prescription drug costs, according to a survey from online health plan exchange eHealth.  By Morgan Haefner - 11/1/18

UnitedHealthcare, the health insurance arm of UnitedHealth Group, ranked first among 100 organizations HealthiestEmployers honored for employee well-being in 2018.  By Morgan Haefner - 11/1/18

CMS said it is poised to claw back $1 billion from Medicare Advantage organizations by 2020 through widespread audits, according to a proposed rule.  By Morgan Haefner - 10/31/18

Anthem posted strong operating results in the third quarter of 2018.  By Morgan Haefner - 10/31/18

Research on price variation in healthcare often shows the stark differences patients pay for the same procedure at one hospital compared to another. However, a working paper published by the National Bureau of Economic Research suggests payers play an equally significant role in price variation, even within the same hospital.  By Emily Rappleye - 10/31/18

The 2019 enrollment period for the federal health insurance exchange begins Nov. 1 for coverage starting on Jan. 1, 2019.  By Morgan Haefner - 10/31/18

Aetna saw its net income climb to $1 billion in the third quarter of 2018 as the health insurer heads toward closing its $69 billion sale to CVS Health.  By Morgan Haefner - 10/30/18

In an effort to combat rising drug prices, one Utah health insurer will pay its members to travel to Mexico to fill prescriptions for certain expensive drugs, according to The Salt Lake Tribune.  By Alia Paavola - 10/30/18

Walmart is partnering with New Orleans-based Ochsner Health System to launch a health insurance plan for about 6,600 Walmart and Sam's Club employees. This marks the first time the health system has partnered in this capacity with a large national employer, according to The Times-Picayune.  By Alia Paavola - 10/30/18

Oscar Health CEO and co-founder Mario Schlosser said the insurer's innovative approach to coverage aims to make the whole process less costly and easier for patients to navigate — an issue he and his wife encountered when they had their first child, according to The Pueblo Chieftain.  By Alyssa Rege - 10/29/18

While only a few million people have short-term health insurance plans, new rules expanding their availability could have a negative effect on any patient who uses a hospital, according to an opinion piece published in STAT.  By Morgan Haefner - 10/26/18

Over the last few years, healthcare has shifted from a standardized, product-centric experience to one that is more personalized. Patients now have access to more information on providers than ever, meaning they have more choice when selecting care they feel will best meet their unique needs.  By Julie Spitzer - 10/26/18