Health Payer Specialist

This week Cigna closed the $3.3 billion sale of its Medicare Advantage business, potentially opening the door for it to make another run at an old prospect. Click for insights. #MergersAcquisitions #MandA https://lnkd.in/eC_RDpkG

This week's stories: Blue Shield of California CEO Lois Quam exits, reinstated CMS workers in limbo, ACA tax credits face uncertainty, Molina CEO gets security-related pay bump, and payers ramp up housing investments. Click for insights. #Healthcare #Leadership #Insurance

CMS chief ignores Senate probe on layoffs, as 220 staff cuts raise concerns. A judge orders HHS to rehire probationary employees, but many remain on leave. Click for details. https://lnkd.in/euuAkv8j #Healthcare #CMS #PolicyChanges

Some federal employees could be invited back to their jobs, but whether they will want to return remains up in the air. Click for insights. https://lnkd.in/e4dCxEhi

Proposed changes to plans sold under the Affordable Care Act by the Trump administration may hit the payer harder than other carriers, analysts say. Click for insights. https://lnkd.in/eEHDnS9y #ACA #HealthInsurance

This week's stories: Blue Shield of California CEO Lois Quam exits after two months, Cigna reshuffles leadership, Humana exec pay surges, and more. Click for insights. #Healthcare #Leadership #Insurance

Neither the payer nor Lois Quam provided a reason for her departure. Click for what this means for Blue Shield. https://lnkd.in/eYTJuBwK #HealthPayer #Leadership

The?Senate Finance Committee?will hold a confirmation hearing this Friday for?Mehmet Oz, MD, as director of the?Centers for Medicare & Medicaid Services. Click for insights. https://lnkd.in/eiZA9CSB #CMS

Out-of-network claim denials far exceed in-network rates, with Cigna rejecting 87% and UnitedHealth at 66% for ACA plans in 2023. Click for insights. https://lnkd.in/ezqnipp7 #Healthcare #Insurance #Claims

This week's stories: Medicaid cuts may drop millions, M&A worsened Change Healthcare hack, Maryland suspends Priority Partners, BCBS plans report losses, and most workers reject pay cuts for remote work. Click for insights. #Healthcare #Medicaid #Insurance