State Intelligence — Virginia
Signals referencing this state across all sources.
6 signals
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Sentara wraps Anthem negotiations for MA, Medicaid, ACA plans without deal
Norfolk, Va.-based Sentara Health ended negotiations with Anthem Blue Cross and Blue Shield of Virginia on 2027 contract extensions for Medicare Advantage, Medicaid and ACA exchange plans. An Oct. 5 update on Sentara’s website said the health system set an Oct. 1 deadline for Anthem to agree on proposals, but the parties were unable to […] The post Sentara wraps Anthem negotiations for MA, Medicaid, ACA plans without deal appeared first on Becker's Payer Issues | Payer News .
Elevance Health + Blue Cross Blue Shield plans · 48 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 -
Elevance Health to pay $15M to settle nurse overtime lawsuits
A federal judge has given final approval to a $14.75 million settlement between Elevance Health and a group of nurses who alleged the insurer misclassified them as exempt from overtime pay. U.S. District Judge David Novak signed off on the deal Aug. 20 in the Eastern District of Virginia, closing out five related lawsuits that […] The post Elevance Health to pay $15M to settle nurse overtime lawsuits appeared first on Becker's Payer Issues | Payer News .
Elevance VirginiaElevance Health · 16 signals · last 30 days -
Sentara moves to end Anthem contracts in Virginia
Nearly 380,000 patients could go out of network with the health system if the commercial, Medicare and Medicaid contracts lapse.
Anthem VirginiaElevance Health · 16 signals · last 30 days -
‘These negotiations take on a whole different meaning’: Sentara seeks 6.2% hike, Anthem BCBS offers 1% cut
Norfolk, Va.-based Sentara Health is seeking a 6.2% blended reimbursement increase from Anthem Blue Cross and Blue Shield of Virginia for 2027. The insurer countered with an approximately 1% decrease, according to Sentara Executive Vice President and Chief Administrative Officer Aubrey Layne Jr. The gap has pushed the organizations closer to a potential split after […] The post ‘These negotiations take on a whole different meaning’: Sentara seeks 6.2% hike, Anthem BCBS offers 1% cut appeared...
Elevance Health + Blue Cross Blue Shield plans · 48 signals · last 30 days -
Efforts to reform federal drug pricing program 340B continue with new report, proposed CMS rule
The federal drug pricing program 340B helps hospitals and clinics in Virginia and across the nation care for underserved patients by requiring pharmaceutical companies to offer prescription discounts to qualifying providers. But after some providers were caught taking advantage of the program and shortchanging patients, state and federal lawmakers have spent years deliberating potential reforms. […]
Policy / Regulatory Changes · 140 signals · last 30 days