State Intelligence — Massachusetts
Signals referencing this state across all sources.
11 signals
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CMS lifts enrollment freeze on Massachusetts Medicare Advantage plans
CMS lifted an enrollment freeze for two contracts under eternalHealth, a Boston-based Medicare Advantage insurer, on Oct. 7. The agency imposed the freeze Aug. 27 after determining eternalHealth’s conduct “poses a serious threat to enrollee health and safety.” Earlier that month, the Massachusetts Division of Insurance placed eternalHealth under administrative supervision and required the insurer […] The post CMS lifts enrollment freeze on Massachusetts Medicare Advantage plans appeared first...
Policy / Regulatory Changes · 140 signals · last 30 days -
GLP-1 spending rose 84% in 1 year at BCBS Massachusetts: Study
Higher use of medical services and prescription drugs, rather than rising inflation-adjusted prices, drove a recent uptick in commercial spending at Blue Cross Blue Shield of Massachusetts, according to a study published Oct. 5 in Health Affairs. The analysis was conducted by researchers from Harvard University, along with senior leadership from BCBSMA, including its chief […] The post GLP-1 spending rose 84% in 1 year at BCBS Massachusetts: Study appeared first on Becker's Payer Issues | Pay...
Blue Cross Blue Shield plans · 36 signals · last 30 days -
The healthiest states for women, children in 2026: UnitedHealth
Massachusetts is the healthiest state in the nation for women and children for the second consecutive year, while Louisiana again ranks last, according to the United Health Foundation’s “2026 America’s Health Rankings Health of Women and Children Report” published Oct. 6. The 10th anniversary edition of the report evaluates all 50 states across 83 measures […] The post The healthiest states for women, children in 2026: UnitedHealth appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
Claims against Aetna dismissed in Zelis antitrust repricing case
A Massachusetts federal judge dismissed claims against Aetna on Sept. 30 in antitrust litigation over the use of Zelis’ repricing tools. The judge determined the providers’ latest complaint did not plausibly allege Aetna used the tools. The plaintiffs filed a second amended complaint in August, following a first amended complaint in June 2025. The first […] The post Claims against Aetna dismissed in Zelis antitrust repricing case appeared first on Becker's Payer Issues | Payer News .
Aetna MassachusettsCVS Health / Aetna · 12 signals · last 30 days -
The high cost of health care guesswork, and how to address it
As costs continue to rise and visibility around health care choices remains clouded, employers are rethinking how their health plans work. Blue Cross Blue Shield of Massachusetts looks at the shift toward cost and quality transparency, and where its new plan, Beacon Blue, fits into that picture.
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Massachusetts Medicare Advantage insurer hit with enrollment freeze again
CMS has again suspended enrollment for two Medicare Advantage prescription drug plans offered by Boston-based EternalHealth, the second time in less than two years that the insurer has faced sanctions. The agency said Aug. 27 the enrollment freeze on the two plans is based on its determination that EternalHealth’s conduct “poses a serious threat to […] The post Massachusetts Medicare Advantage insurer hit with enrollment freeze again appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
BCBS Massachusetts logs $83.4M Q2 profit
Blue Cross Blue Shield of Massachusetts earned $83.4 million in after-tax second-quarter profit. This was made up of $35.7 million in operating and other income, as well as $47.7 million in investment income. The insurer’s revenue was $2.7 billion, marking a net margin of 3%. During the same period in 2025, BCBS Massachusetts had a […] The post BCBS Massachusetts logs $83.4M Q2 profit appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Massachusetts negotiates $72M in rate reductions, rejects Fallon’s rate hike for 2027
The Massachusetts Division of Insurance has renegotiated lower rates — projecting $72 million in premium savings — with insurers in the state’s merged individual and small employer market. The negotiations included Blue Cross Blue Shield of Massachusetts HMO Blue, Harvard Pilgrim Health Care, Health New England, Mass General Brigham Health Plan, Tufts Health Public Plans, […] The post Massachusetts negotiates $72M in rate reductions, rejects Fallon’s rate hike for 2027 appeared first on Becke...
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Cigna’s national accounts president returns to BCBS Massachusetts
Erin Lenox has rejoined Blue Cross Blue Shield of Massachusetts as senior vice president of service and operations. Ms. Lenox is responsible for the strategic direction of member, account, and provider service and enrollment and claims operations across the company, according to a July 21 news release. She also oversees the service and operations center […] The post Cigna’s national accounts president returns to BCBS Massachusetts appeared first on Becker's Payer Issues | Payer News .
Cigna + Blue Cross Blue Shield plans · 51 signals · last 30 days -
Commonwealth of Massachusetts v. UnitedHealthcare Insurance Company
Case 1:26-cv-12853-PGL Document1-6 Filed 06/23/26 Page 1 of 639 EXHIBIT F Date Filed 5/29/2026 7:47 AM Superior Court Suffolk Case 1:26-cv-12853-PGL Document1-6 Filed 06/23/26 Page 2 of 639 Docket Number COMMONWEALTH OF MASSACHUSETTS SUFFOLK, ss. SUPERIOR COURT DEPARTMENT OF THE TRIAL COURT CIVIL ACTION NO. COMMONWEALTH OF MASSACHUSETTS, Plaintiff, V. COMPLAINT UNITEDHEALTHCARE INSURANCE COMPANY d/b/a UNITEDHEALTHCARE COMMUNITY PLANS OF kg MASSACHUSETTS, Defendant. The Commonwealth of Massach...
UnitedHealthcare MassachusettsUnitedHealthcare · 46 signals · last 30 days -
Blue Cross and Blue Shield of Massachusetts, Inc. et al. v. Kennedy et al.
Medicare Advantage Star Ratings litigation. The post Blue Cross and Blue Shield of Massachusetts, Inc. et al. v. Kennedy et al. appeared first on Health Care Litigation Tracker .
Blue Cross Blue Shield plans · 36 signals · last 30 days