State Intelligence — Pennsylvania
Signals referencing this state across all sources.
10 signals
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Centene to launch CHOICE options in 4 more states
Centene is launching Custom Health Option and Individual Care Expense arrangements, recently rebranded from individual coverage health reimbursement arrangements, in four more states in 2027. Ambetter Health Solutions President Alan Silver told Becker’s Oct. 8 that the expansion includes Alabama, Iowa, North Carolina and Pennsylvania. The company currently offers plans designed for CHOICE in 13 […] The post Centene to launch CHOICE options in 4 more states appeared first on Becker's Payer Iss...
Centene · 13 signals · last 30 days -
CMS to expand IRF claim review demonstration to all facilities billing the jurisdiction that includes Alabama, Georgia, Tennessee
The Centers for Medicare & Medicaid Services announced Sept. 25 that it will expand the Inpatient Rehabilitation Facility Review Choice Demonstration to include all IRFs that bill Medicare Administrative Contractor Jurisdiction J, which generally includes Alabama, Georgia and Tennessee. The demonstration, which is currently active for IRFs in Alabama, California, Texas and Pennsylvania, subjects 100% of all Original Medicare IRF claims to either pre-claim or post-payment review. For IRFs newl...
Policy / Regulatory Changes · 140 signals · last 30 days -
Penn Medicine, IBX plan 18+ surgery centers
Penn Medicine, Independence Blue Cross and Regent Surgical have partnered to develop at least 18 ASCs. The three organizations will form a new company to run the centers, which will be located across Penn Medicine’s service area in Pennsylvania, New Jersey and Delaware. The timing, scope and economic impact of the ASCs will depend on […] The post Penn Medicine, IBX plan 18+ surgery centers appeared first on Becker's Payer Issues | Payer News .
Blue Cross Blue Shield plans · 36 signals · last 30 days -
HCA-affiliated hospitals in Texas sue Independence Blue Cross over claim denials
Several HCA Healthcare-affiliated hospitals in Texas filed a lawsuit Sept. 11 against Pennsylvania insurer Independence Blue Cross over alleged claim denials. The plaintiffs include Methodist Healthcare System of San Antonio, St. David’s HealthCare, HCA Houston Healthcare North Cypress, The Woman’s Hospital of Texas and HCA Houston Healthcare Medical Center — all tied to Nashville, Tenn.-based […] The post HCA-affiliated hospitals in Texas sue Independence Blue Cross over claim denials appear...
Blue Cross Blue Shield plans · 36 signals · last 30 days -
Trump Administration Announces $35 million Investment to Advance Screening Technology, Secure Additional Operating Rooms, and Modernize Rural Pennsylvania Healthcare
Trump Administration Announces $35 million Investment to Advance Screening Technology, Secure Additional Operating Rooms, and Modernize Rural Pennsylvania Healthcare This federal investment will help provide technology, equipment and expanded transportation options for communities across Pennsylvania
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CMS News: Trump Administration Announces $35 million to Support Investments in Rapid Response Capabilities to Improve Rural Pennsylvania Healthcare
Trump Administration Announces $35 million to Support Investments in Rapid Response Capabilities to Improve Rural Pennsylvania Healthcare Federal investment will help provide technology, equipment and expanded transportation options for communities across Pennsylvania The Trump Administration announced that $35 million, made possible through the federal Rural Health Transformation Program (RHTP), is being put to work to improve health outcomes among rural Pennsylvanians by updating to new, mo...
Policy / Regulatory Changes · 140 signals · last 30 days -
District court rules AHA can file amicus brief in case challenging Aetna’s ‘level of severity’ policy
The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of Pennsylvania to file an amicus brief submitted in June in support of Jefferson Health’s challenge to Aetna’s “level of severity” reimbursement policy. The policy is a reimbursement for “low severity” inpatient stays that Aetna said will be “comparable” to observation rates. Aetna moved to have Jefferson Health’s case decided in arbitration rathe...
Aetna PennsylvaniaCVS Health / Aetna · 12 signals · last 30 days -
ELLSWORTH ASSOCIATES, LLP v. CVS HEALTH CORPORATION
Case 2:19-cv-02553-JMY Document 282 Filed 07/31/26 Page 1 of 39 IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA UNITED STATES OF AMERICA, ex rel. : ELLSWORTH ASSOCIATES, LLP, : : Plaintiff-Relator, : Civil Action : Original document
CVS Health PennsylvaniaCVS Health / Aetna · 12 signals · last 30 days -
Judge denies Cigna bid to have health data-tracking lawsuit tossed
A Pennsylvania federal judge ruled that four of the five claims in a lawsuit alleging Cigna violated privacy protections through third-party vendors using tracking technologies on its website can proceed. The complaint dates to May 2025, with the most recent amended complaint from March 2026. Plaintiffs include current and past Cigna policyholders who allege a […] The post Judge denies Cigna bid to have health data-tracking lawsuit tossed appeared first on Becker's Payer Issues | Payer News .
Cigna PennsylvaniaCigna · 15 signals · last 30 days -
IN RE: GENERIC PHARMACEUTICALS PRICING ANTITRUST LITIGATION
Case 2:16-md-02724-CMR Document 4469 Filed 05/21/26 Page 1 of 27 IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA IN RE: GENERIC PHARMACEUTICALS MDL 2724 PRICING ANTITRUST LITIGATION 16-MD-2724 THIS DOCUMENT RELATES TO: HON. CYNTHIA M. RUFE Humana Inc. v. Actavis Elizabeth, LLC, et al. 2:18-cv-03299 Original document
Humana PennsylvaniaHumana · 13 signals · last 30 days