State Intelligence — Maryland
Signals referencing this state across all sources.
12 signals
-
Trump Administration Announces More Than $16 Million for Rural Healthcare Workforce Training and Retention Across Maryland
Trump Administration Announces More Than $16 Million for Rural Healthcare Workforce Training and Retention Across Maryland This federal investment will prepare Marylanders for healthcare careers and help rural communities recruit and retain nurses, physicians, dentists, and other providers
-
Maryland payer laying off 161 across 3 states
Provider Partners Health Plans is laying off 161 employees spanning three states, according to Oct. 7 Worker Adjustment and Retraining Notification, or WARN, notices. Provider Partners reported 79, 39 and 43 layoffs in Texas, Maryland and Illinois, respectively. The Texas and Maryland layoffs go into effect in early December. In late May, CMS said it […] The post Maryland payer laying off 161 across 3 states appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days -
Aetna broadens access to oncology prior auth bundles
CVS Health’s Aetna is expanding prior authorization bundles for cancer, available to some Medicaid members as of Sept. 1. The update impacts Medicaid members with providers in Oklahoma, Illinois, Maryland, New Jersey, Virginia, Florida, Kentucky and West Virginia who use the Eviti portal for prior authorizations. Aetna anticipates broadening eligibility to Medicare and commercial members […] The post Aetna broadens access to oncology prior auth bundles appeared first on Becker's Payer Issues...
CVS Health / Aetna · 12 signals · last 30 days -
UnitedHealth Group in the headlines: 10 updates
From announcing plans to drop prior authorization requirements for 1,700 services to facing a lawsuit from the Maryland attorney general, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since Aug. 26: 1. Ujjwal Ratan joined UnitedHealth Group’s consulting and analytics division, Optum Insight, as chief AI officer. 2. UnitedHealth […] The post UnitedHealth Group in the headlines: 10 updates appeared first on Becker's Payer Issues | Payer News .
UnitedHealthcare · 46 signals · last 30 days -
CareFirst BCBS files trademark infringement complaint
CareFirst BlueCross BlueShield filed a trademark infringement lawsuit against a Hagerstown, Md.-based in-home healthcare and staffing company Aug. 27. The complaint, filed in the U.S. District Court for Maryland, said the insurer has more than 25 registrations issued by the U.S. Patent and Trademark Office for its “CAREFIRST” mark. The filing said the insurer has […] The post CareFirst BCBS files trademark infringement complaint appeared first on Becker's Payer Issues | Payer News .
BCBS MarylandBlue Cross Blue Shield plans · 36 signals · last 30 days -
Maryland sues Optum over 'defective' computer system
Maryland has filed a lawsuit against UnitedHealth Group, alleging that its Optum unit defrauded the state's Medicaid program by providing a faulty computer system.
UnitedHealthcare · 46 signals · last 30 days -
Maryland sues UnitedHealth for $380M over Medicaid administration issues
Maryland Attorney General Anthony Brown has filed a lawsuit against UnitedHealth Group and Optum, seeking $380 million in damages stemming from alleged issues administering a Medicaid behavioral health program. “Marylanders in crisis and the providers who care for them rely on Maryland’s Medicaid program for essential mental health and substance abuse care. Optum provided a […] The post Maryland sues UnitedHealth for $380M over Medicaid administration issues appeared first on Becker's Payer I...
UnitedHealthcare · 46 signals · last 30 days -
CMS lifts enrollment suspension on Maryland Medicare Advantage plan
CMS has lifted the enrollment suspension it imposed on Provider Partners Health Plans’ Maryland I-SNP after the insurer corrected network deficiencies. The agency suspended enrollment into the plan in late May after Provider Partners’ lost all contracted long-term care facilities in its network and then disenrolled 29 members from the program without their consent. In […] The post CMS lifts enrollment suspension on Maryland Medicare Advantage plan appeared first on Becker's Payer Issues | Pay...
Policy / Regulatory Changes · 140 signals · last 30 days -
HHS appeals decision vacating provisions of 2025 ACA marketplace rule
HHS and CMS appealed a Maryland federal court’s decision to vacate parts of CMS’ 2025 “Marketplace Integrity and Affordability Rule,” according to July court filings. In the Columbus I case — which has the city governments of Columbus (Ohio), Baltimore and Chicago, as well as other groups, as plaintiffs — the Maryland district court ruled on summary judgment in June […] The post HHS appeals decision vacating provisions of 2025 ACA marketplace rule appeared first on Becker's Payer Issues | Pay...
Policy / Regulatory Changes · 140 signals · last 30 days -
District court pauses 8 provisions from 2027 notice of benefit and payment parameters final rule
The U.S. District Court for the District of Maryland July 16 enjoined eight provisions from the Centers for Medicare & Medicaid Services’ 2027 notice of benefit and payment parameters final rule, which were set to become effective July 20. The final rule issues standards for qualified health plans offered through the health insurance marketplaces. The injunction pauses multiple policies that the AHA previously raised concerns about, including an expansion of annual out-of-pocket maximums for...
Policy / Regulatory Changes · 140 signals · last 30 days -
Maryland failed to audit $675M in Medicaid pharmacy claims: 5 notes
The Maryland Department of Health did not audit pharmacy claims for three of its four fee-for-service pharmacy programs, leaving approximately $674.5 million in fiscal 2025 claims without routine reviews for fraud, waste, abuse and billing violations, according to a July 13 audit from the Maryland Office of Legislative Audits. The agency agreed with the audit’s […] The post Maryland failed to audit $675M in Medicaid pharmacy claims: 5 notes appeared first on Becker's Payer Issues | Payer News .
-
Judge pauses ACA catastrophic plan expansion, 7 other provisions
A federal judge has paused eight provisions of CMS’ 2027 ACA marketplace rule, blocking a slate of eligibility, verification and plan design changes just days before they were set to take effect July 20. Judge Brendan Hurson of the U.S. District Court for the District of Maryland granted the stay July 16 in City of […] The post Judge pauses ACA catastrophic plan expansion, 7 other provisions appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 140 signals · last 30 days