Timeline — Competitive / Operational Strategy
Signals in this topic on one timeline — one payer bubble row apiece, all in this topic's color.
36 signals in the last 30 days
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Integris Health to join Kaiser Permanente's Risant Health
Pending approvals, Oklahoma's largest nonprofit health system will follow in the footsteps of Geisinger Health and Cone Health in seeking outside investment and tech-enabled value-based care know-how from the Kaiser subsidiary.
Kaiser Oklahoma -
Baba nabs $40M series A, backed by FirstMark Capital and CVS Health Ventures, for AI-powered Medicare patient navigation
The AI company plans to use the funding to further its research, reach more health plans and accelerate value-based arrangements, executives say.
CVS Health -
SCAN partners with Mosaic’s CareMore on Medicare Advantage plan
SCAN Health Plan launched a Medicare Advantage HMO with CareMore Health, an integrated care delivery system and primary care provider under Mosaic Health, with coverage beginning Jan. 1. According to an Oct. 13 news release, CareMore Health Plan by SCAN will be available in California’s Los Angeles and Orange counties. Plan members will have access […] The post SCAN partners with Mosaic’s CareMore on Medicare Advantage plan appeared first on Becker's Payer Issues | Payer News .
SCAN California -
12% of calls to mental health clinicians in Blue Cross directories yield appointments: Study
Mental health ghost networks reach well beyond public insurance programs. Directory errors affected 55.6% of evaluable secret shopper calls to psychiatrists and psychologists listed by the largest commercial carrier in each of five states, according to a study published Oct. 16 in JAMA Health Forum. Researchers from the Ohio State University’s College of Public Health […] The post 12% of calls to mental health clinicians in Blue Cross directories yield appointments: Study appeared first on Be...
Blue Cross Ohio -
CVS’ Oak Street Health gets chief medical officer
CVS Health named Maria Wilson, MD, as chief medical officer of Oak Street Health, the company’s value-based primary care centers for older adults. Dr. Wilson has been with Oak Street Health since 2017, most recently serving as an executive medical director, according to her LinkedIn profile. “It’s a privilege to take on this role in […] The post CVS’ Oak Street Health gets chief medical officer appeared first on Becker's Payer Issues | Payer News .
CVS Health -
Trump Administration Announces $92 Million to Coordinate Rural Hospital Networks, Improve Maternal Care, and Expand Medical Services Across Ohio
Trump Administration Announces $92 Million to Coordinate Rural Hospital Networks, Improve Maternal Care, and Expand Medical Services Across Ohio This federal investment will connect rural providers and bring MRI, behavioral health, and maternal care closer to patients across Ohio
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Voice AI startup careCycle rolls out free plan comparison tool for Medicare beneficiaries
The tool is free to use, takes no payments from payers or commissions and does not sell or share personal information. It surfaces yearly cost estimates and shows nearby plans that keep a patient's doctors in-network.
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CVS to pay $315M over opioid prescriptions billed to Medicare, federal programs: Justice Department
CVS Pharmacy has agreed to pay $315 million to resolve Justice Department allegations that it illegally filled opioid and other controlled substance prescriptions, according to an Oct. 13 news release. Here are five things to know: The post CVS to pay $315M over opioid prescriptions billed to Medicare, federal programs: Justice Department appeared first on Becker's Payer Issues | Payer News .
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STAT+: BlackRock to buy majority stake in Humana’s CenterWell clinics for $2.8 billion
Humana is swapping out private equity sponsors for its CenterWell Senior Primary Care clinics. Good bye, Welsh, Carson, Anderson & Stowe. Hello, BlackRock.
Humana -
Humana, BlackRock strike $2.8B deal to manage CenterWell clinics
Humana will enter into a joint venture with investment firm BlackRock to manage and operate its CenterWell primary care clinics for seniors, swapping out its current partner Welsh, Carson, Anderson & Stowe.
Humana -
Humana strikes $2.8B CenterWell senior clinic deal with BlackRock
Humana has agreed to form a new joint venture with investment management firm BlackRock to own and operate nearly 150 CenterWell Senior Primary Care clinics, replacing CenterWell’s existing joint ventures with private equity firm Welsh, Carson, Anderson & Stowe. Funds and accounts managed by HPS Investment Partners, part of BlackRock, will acquire Welsh Carson’s equity […] The post Humana strikes $2.8B CenterWell senior clinic deal with BlackRock appeared first on Becker's Payer Issues | Paye...
Humana -
Humana enters $2.8B primary care joint venture with BlackRock
Investment firm BlackRock will acquire a majority stake in nearly 150 senior primary care clinics owned by Humana’s senior healthcare division, CenterWell, the insurer announced Tuesday.
Humana -
Trump Administration Announces $209 Million to Expand Advanced Medical Care, Maternal Telehealth, and Cancer Prevention Across Rural Iowa
Trump Administration Announces $209 Million to Expand Advanced Medical Care, Maternal Telehealth, and Cancer Prevention Across Rural Iowa This federal investment will bring advanced surgical capabilities to rural hospitals, connect patients with maternal specialists through telehealth, and modernize health information sharing across Iowa
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Ascension pulls back from insurance to focus on care delivery
St. Louis-based Ascension is continuing to scale back its health insurance business, shedding ownership stakes in health plans and redirecting capital toward its core strength: care delivery. The latest move is Ascension’s agreement to sell its ownership stake in Arizona Medicaid managed care plan Mercy Care to CVS Health subsidiary Aetna. San Francisco-based Dignity Health, […] The post Ascension pulls back from insurance to focus on care delivery appeared first on Becker's Payer Issues | Pa...
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I am age 60 and have been receiving Social Security disability insurance (SSDI) payments for two years. My Medicare coverage just started and I would like to get a Medicare supplement insurance policy. What are my options?
It depends on the state where you live. Some states require insurance companies to sell Medigap supplement policies to people under age 65, but not all states do.
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I am 70 years old and covered by Medicare, but I’m wondering if I can purchase one of the health plans offered through the Marketplace and drop my Medicare coverage? Is that an option for me or should I keep my Medicare coverage?
If you have Medicare, you should keep it. In fact, companies that sell Marketplace plans are prohibited from selling these plans to you if they know you are covered by Medicare.
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Cigna unveils new customer experience platform, Health Sense
Cigna is rolling out a new patient experience platform that aims to harness the power of data to drive greater personalization.
Cigna -
‘We’re really trying to build something new’: Inside the Walmart-SCAN co-branded Medicare Advantage plans
SCAN Health Plan has been expanding its co-branded Medicare Advantage plans for 2027, including through a partnership with Walmart. Walmart and SCAN are launching the SCAN Walmart Health Advantage HMO and SCAN Walmart Medicare Complete Chronic Special Needs Plan, also known as a C-SNP, according to an Oct. 7 news release. The plans will be […] The post ‘We’re really trying to build something new’: Inside the Walmart-SCAN co-branded Medicare Advantage plans appeared first on Becker's Payer Iss...
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BCBS Minnesota cuts most Medicare Advantage plans following $500M loss
Blue Cross and Blue Shield of Minnesota is discontinuing most of its Medicare Advantage plans at the end of 2026, citing more than $500 million in Medicare losses over the past three years amid rising medical and pharmacy costs. “While I am reassured that our financial foundation remains strong, that does not mean we can […] The post BCBS Minnesota cuts most Medicare Advantage plans following $500M loss appeared first on Becker's Payer Issues | Payer News .
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‘This is an agent doing this’: Health insurers deploy AI to make your next medical appointment
Booking an appointment with a provider often means confirming they’re in network, working through an automated phone menu and trading available times with a receptionist. But for some UnitedHealthcare and Aetna members, an AI agent is now handling that work. Senior executives at both insurers have described their scheduling tools publicly in recent months as […] The post ‘This is an agent doing this’: Health insurers deploy AI to make your next medical appointment appeared first on Becker's P...
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Optum awarded $30B VA dental contract
The Department of Veterans Affairs has awarded Optum Serve a 10-year contract worth up to $30 billion to build and administer its national dental network. The network is set to be fully in place within a year of the award and will cover general and specialty dental care, preventive services and pharmacy support, according to […] The post Optum awarded $30B VA dental contract appeared first on Becker's Payer Issues | Payer News .
Optum -
SCAN unveils 2027 MA slate, including launch of co-branded Costco plans
SCAN Health Plan has unveiled its product offerings for the 2027 plan year, and the slate includes the first launch in its partnership with Costco.
SCAN -
Legacy, UnitedHealthcare reach new contract, affecting tens of thousands of Oregonians
Legacy, UnitedHealthcare reach new contract, affecting tens of thousands of Oregonians The new contract was announced just hours before the old one was due to expire Joanne Zuhl Thu, 10/01/2026 - 14:20 Legacy Health has reached a new deal with the insurance giant UnitedHealthcare, ensuring continued in-network coverage for tens of thousands of Oregonians. Under the contract, all services provided by Legacy’s hospitals, clinics and providers will be covered for the insurer’s members at in-netw...
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Trump Administration Announces Nearly $55 Million to Expand Rural Maternal and Emergency Care, Cancer Screening, and Alabama’s Rural Healthcare Workforce
Trump Administration Announces Nearly $55 Million to Expand Rural Maternal and Emergency Care, Cancer Screening, and Alabama’s Rural Healthcare Workforce This federal investment will support 34 grants including maternal care networks and increase access to cancer screening across Alabama
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Cigna rolls out modernization effort, expects $3B in savings
Cigna is launching a modernization and productivity initiative, expected to bring in $3 billion in savings by 2030. During the company’s Sept. 30 investor day call, CFO Ann Dennison said the multiyear program focuses on automating workflows, ensuring a future-ready workforce and optimizing supplier and vendor management. According to a news release from the same […] The post Cigna rolls out modernization effort, expects $3B in savings appeared first on Becker's Payer Issues | Payer News .
Cigna -
Blue Shield of California must face mental health ‘ghost network’ claims
A federal judge allowed portions of a putative class action lawsuit against Blue Shield of California and Magellan, the insurer’s contracted mental health services administrator, to move forward over allegations that they published an inaccurate directory of mental health providers, according to a Sept. 23 court order. The plaintiffs are Blue Shield subscribers who alleged […] The post Blue Shield of California must face mental health ‘ghost network’ claims appeared first on Becker's Payer Is...
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Trump Administration Announces $20 Million to Expand Telehealth Access and Upgrade Healthcare Technology Across Rural North Carolina
Trump Administration Announces $20 Million to Expand Telehealth Access and Upgrade Healthcare Technology Across Rural North Carolina This federal investment will help expand virtual care, upgrade electronic health records, strengthen cybersecurity, and equip rural providers with new technology to better serve patients
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Cigna unveils $3B productivity initiative, including use of AI
The company will focus on automating and modernizing processes, better managing suppliers, partners and vendors and making employees more efficient, executives said during a Wednesday investor day.
Cigna -
Better Medicare Alliance Unveils 10-Point Policy Roadmap to Protect Medicare Advantage Affordability, Choice and Stability
Agenda calls for faster prior authorization decisions, stronger oversight of in-home health risk assessments, a next-generation risk model and greater stability for more than 35 million beneficiaries WASHINGTON — Better … Continue reading "Better Medicare Alliance Unveils 10-Point Policy Roadmap to Protect Medicare Advantage Affordability, Choice and Stability" The post Better Medicare Alliance Unveils 10-Point Policy Roadmap to Protect Medicare Advantage Affordability, Choice and Stability a...
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HCA-affiliated St. David’s hospitals to go out of network with Cigna
Austin, Texas-based St. David’s HealthCare, a partnership between Nashville, Tenn.-based HCA Healthcare and two nonprofits, is set to go out of network with Cigna Oct. 1. St. David’s hospitals, ASCs and affiliated hospital-based physicians in Texas will no longer be available in network, the health system’s website said. “St. [David’s] HealthCare’s owner HCA is demanding […] The post HCA-affiliated St. David’s hospitals to go out of network with Cigna appeared first on Becker's Payer Issues |...
Cigna Texas -
SCAN expands reach into Oregon in partnership with the Springs Living
SCAN Health Plan is teaming up with the Springs Living, a senior living organization, to launch new co-branded products that aim to offer a more connected experience for people living in these communities.
SCAN Oregon -
SCAN expands into Oregon by partnering with assisted-living organization
SCAN Health Plan is expanding into Oregon through a partnership with The Springs Living, an independent-living, assisted-living and memory care provider for older adults. The expansion brings the Medicare Advantage insurer into Oregon’s Clackamas and Washington counties. SCAN and The Springs Living will also launch co-branded products available Jan. 1. “The future of healthcare for […] The post SCAN expands into Oregon by partnering with assisted-living organization appeared first on Becker's...
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UnitedHealth’s home health arm hit by phone phishing breach
LHC Group, a home health and hospice provider owned by UnitedHealth Group’s Optum, has disclosed a data breach tied to a vishing attack that exposed patient information. LHC Group said it became aware April 7 that an employee may have fallen victim to a voice phishing scheme, according to the September notice. The company’s third-party […] The post UnitedHealth’s home health arm hit by phone phishing breach appeared first on Becker's Payer Issues | Payer News .
UnitedHealthOptum -
Cigna, Baptist forge multiyear agreement following June cutoff
Jacksonville, Fla.-based Baptist Health and Cigna Healthcare announced a multiyear agreement Sept. 23 after the health system went out of network in June. Effective immediately, the agreement restores in-network access to providers, clinics and hospitals. A Baptist news release said the agreement includes Wolfson Children’s Hospital. “Throughout these discussions, both Baptist Health and Cigna Healthcare […] The post Cigna, Baptist forge multiyear agreement following June cutoff appeared firs...
Cigna -
Cigna partners with OpenAI, starting with oncology
The Cigna Group is partnering with OpenAI to integrate AI into clinical workflows, with a first focus on cancer care. Under the collaboration announced Sept. 23, OpenAI’s tools will be built into workflows across Accredo Specialty Pharmacy and the insurance business, Cigna Healthcare. The first new capability will give oncology nurses and case managers an […] The post Cigna partners with OpenAI, starting with oncology appeared first on Becker's Payer Issues | Payer News .
Cigna -
UnitedHealthcare, Cigna, Centene join national shared provider credentialing program
UnitedHealthcare, Cigna and Centene are among the initial participants in a national shared provider credentialing program, launching in the fall. CertifyOS, a provider data intelligence company, announced the program Sept. 23. The initiative aims to standardize credentialing and verification, speed up the time to join an insurance network and serve as a reliable source of […] The post UnitedHealthcare, Cigna, Centene join national shared provider credentialing program appeared first on Becke...
UnitedHealthcareCigna