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State Treasurer remains 'profoundly concerned' after WakeMed/Atrium merger approved by Wake County
After Wake County commissioners approved a WakeMed/Atrium merger, State Treasurer Brad Briner said it would raise State Health Plan prices.
Aspirus Health Plan earns 4.5 out of 5 in health plan ratings
WAUSAU – Aspirus Health Plan, Inc. has earned an overall 4.5 out of 5 rating in NCQA's health plan ratings 2026, placing the organization among the
Genesee Health Plan hosts healthcare tune-up event
Genesee Health Plan is hosting its annual healthcare tune-up event Thursday from 3 p.m. to 6 p.m. at its office on South Linden Road.
New 2027 Medicaid work rules mean 600K Oregon Health Plan members are getting notices
Oregon has begun sending letters to about 600,000 Oregon Health Plan members warning them about new requirements taking effect next year that potentially impact their eligibility for Medicaid benefits. For […]
New Mexico behavioral health committee closes in on goal of approving 13 regional health plans
The committee tasked with rebuilding New Mexico’s behavioral healthcare infrastructure has approved 11 of 13 regional plans.
Community Health Planning Meeting coming up in Town of Richwood on Sept. 24
Town of Richwood Mayor Gerald Brown and Early Detection and Education Regional Manager at Mary Bird Perkins Cancer Center Myra Gatling-Akers joined Good Morning ArkLaMiss to invite community members and organizations to their Community Health Planning Meeting.
Community Health Planning Meeting coming up in Town of Richwood on Sept. 24
Town of Richwood Mayor Gerald Brown and Early Detection and Education Regional Manager at Mary Bird Perkins Cancer Center Myra Gatling-Akers joined Good Morning ArkLaMiss to invite community members and organizations to their Community Health Planning Meeting.
Community Health Planning Meeting coming up in Town of Richwood on Sept. 24
Town of Richwood Mayor Gerald Brown and Early Detection and Education Regional Manager at Mary Bird Perkins Cancer Center Myra Gatling-Akers joined Good Morning ArkLaMiss to invite community members and organizations to their Community Health Planning Meeting.
After new federal requirements, changes coming to the Oregon Health Plan
About 600,000 Oregon Health Plan members will soon receive a notice that Medicaid is about to change.
Sentara Health Plans raising premiums by 22.7% in Virginia’s individual market
Sentara Health Plans’ planned rate increase is the highest average increase of any carrier that will be offering comprehensive individual health insurance coverage in Virginia in 2027, according to the state insurance bureau.
US says it canceled 315,000 Obamacare policies last month
The US Centers for Medicare & Medicaid Services said on Tuesday it canceled 315,000 Obamacare health plans covering about 760,000 people last month, citing unverified citizenship or immigration documentation and suspected improper enrollments.
New York City Regional Center-Managed Entity Provides Funding for Urban Health Plan's New Healthcare Facility in the South Bronx
/PRNewswire/ -- New York City Regional Center (NYCRC) is pleased to announce the closing of $20 million in New Markets Tax Credit financing to help fund the...
Teal Health raises $22M ahead of expected surge in demand with new coverage mandate
Teal Health, maker of an FDA-approved at-home cervical cancer screening device, has raised $22 million in a Series A funding round. | Starting in 2027, most health plans are required to cover the cost of self-collected tests with no cost to consumers, including follow-up tests. Teal is working to coordinate billing with major commercial payers ahead of that deadline.
Cohere Health Helps Health Plans Unlock Revenue by Closing Hidden HEDIS® Gaps
/PRNewswire/ -- Cohere Health®, the leading clinical intelligence and operations platform for health plans, today announced new performance results...
Cleveland to demolish J Glen Smith health center, relocate services
CMSD plans to build a new Glenville High School there. Cleveland and MetroHealth plan to move their services elsewhere in the area.
After new federal requirements, changes coming to the Oregon Health Plan
About 600,000 Oregon Health Plan members will soon receive a notice that Medicaid is about to change. In Oregon, that means some people will need to renew their coverage every six months instead of every two years. Many between the ages of 19 and 64 will also need to prove they work or volunteer.
The colorectal cancer screening number health plans have never been scored on
Follow-up colonoscopy rates after a positive stool-based test range from 24-75%, according to NCQA. Same test, same result, very different odds that the
Oregon Health Plan to issue notices regarding new work rules for 600,000 members
Bend, Ore. (KTVZ) --- The Oregon Health Authority is holding a virtual media briefing Monday to outline upcoming federal changes to the Oregon Health Plan that will impact approximately 600,000 members. The updates are required under new federal mandates in House Resolution 1, which states must implement to maintain federal funding. Notices will begin going
Ask The Expert: A modernized health plan: Supporting cost management and the employee experience
See how health care cost transparency can help employees compare care and costs while giving employers a different approach to managing benefits.
Oregon Health Plan members to receive notices on changes to Medicaid
BEND, Ore. (KTVZ) -- About 600,000 Oregon Health Plan members are beginning to receive notices about federally required changes to Medicaid coverage, including new work or activity rules that will affect some adults beginning January 1st, 2027. The Oregon Health Authority said the notices being sent this month are informational only, and members do not
Vheda Health plans targeted acquisitions and national growth following a $47M raise
The Columbia, Maryland, startup will use its first institutional investment from Agora to expand its chronic and maternity care platform beyond 18 states.
Amy Robbins’ reaction as Clancy Juror talks about Massachusetts’ postpartum mental health plan
Employee health plans to remain unchanged for 2027, contributions to increase
When Penn State’s 2027 benefits open enrollment period begins on Nov. 2, benefits-eligible faculty and staff will continue to have access to the same high-quality health care coverage and programs. Beginning Jan. 1, 2027, employees will see an increase in their payroll contributions to keep pace with rising health care costs.
Inland Empire Health Plan receives 4-star NCQA Medicaid plan rating
/PRNewswire/ -- The National Committee for Quality Assurance (NCQA) awarded Inland Empire Health Plan (IEHP) an overall rating of 4 out of 5 for Medicaid...
NYC Health + Hospitals and Maimonides Health Transaction Moves Forward After New York State Health Planning Council Vote
New York, NY – In a unanimous vote, the full New York State Public Health and Health Planning Council (PHHPC) today approved the proposal for Maimonides
Outcome of suit against Department of Labor could boost skimpy employer health plans
A long-running lawsuit challenging what it means to be an employee and therefore have access to work-based health plans is being closely watched by health policy analysts.
Zocdoc for chatbots and what's new with Medicare's ACCESS
In this edition of STAT Health Tech: Zocdoc enables appointment scheduling from chatbots and health plan websites, and more.
Comstock Schools: Teachers could get raise by dropping MESSA for cheaper health plan
Michigan schools grapple with rising insurance costs
Vitality and Google Expand Technology Partnership to Bring AI-Driven Health Platform to the United States to Incentivize Healthier Behaviors
Vitality AI, built on Google Cloud and using Gemini Enterprise, expands into the U.S. market — bringing proven personalized health recommendations, coaching, and incentives to health plans and...
Dario Wins Contract with One of New Jersey's Largest Health Plans Representing 1.5 Million Covered Lives
/PRNewswire/ -- DarioHealth Corp. (NASDAQ: DRIO) (the "Company", "DarioHealth" or "Dario"), a leading AI-powered healthcare technology company transforming the...
CT adds guardrails on AI use in some health plans. It could expand to all
In January, Comptroller Sean Scanlon will recommend lawmakers require all state-regulated plans to adhere to the same policies.
CT announces AI regulations for state employee health plans
The new rules apply to enrollees in state employee health plans and the CT Partnership Plan for municipal and other public-sector employees.
SCAN Health Plan, Walmart partner on Medicare Advantage plans
SCAN Health Plan is partnering with retail giant Walmart to launch a co-branded Medicare Advantage plan in two states, the companies
In new State Health Plan program, a cluster of rural NC hospitals could cost patients more
State employees will likely pay more for healthcare if they use hospital systems in four rural counties north of the Triangle.
Kaiser Permanente leads the nation in top-rated health plans
/PRNewswire/ -- Kaiser Permanente continues to provide some of the highest-rated health care in the nation. In the 2026 National Committee for Quality...
Outcome of suit against Department of Labor could boost skimpy employer health plans
The Trump administration has been sharply focused on expanding access to alternative coverage.
NCQA Unveils 2026 Health Plan Ratings
18 health plans earn top 5-star rating. / ACCESS Newswire / September 16, 2026 / The National Committee for Quality Assurance () announced its 2026 Health Plan Ratings \- an annual report that helps healthcare consumers and regulators assess the quality and effectiveness of health plans.
Survey: 54% of Small- to Mid-Sized Businesses Report Double-Digit Health Plan Premium Increases for 2027
/PRNewswire/ -- eHealth (Nasdaq: EHTH), a leading private online health insurance marketplace, today published new original research showing that over half of...
Ayble Health banks $16M series A to expand AI-driven precision digestive, autoimmune healthcare
Ayble Health secured a $16 million oversubscribed series A funding round to accelerate its expansion into artificial intelligence-driven precision digestive and autoimmune healthcare. | Ayble Health says it is currently in-network with most commercial health plans, covering more than 80 million patients through its various partnerships.
CaroMont Health plans new hospital near Lake Wylie as York County grows
CaroMont Health plans to build a neighborhood hospital in Clover, South Carolina by 2031 to serve the Lake Wylie and York County region.
CaroMont Health plans new hospital near Lake Wylie as York County grows
CaroMont Health plans to build a neighborhood hospital in Clover, South Carolina by 2031 to serve the Lake Wylie and York County region.
SAN FRANCISCO HEALTH PLAN EARNS HISTORIC 4.5-STAR RATING IN 2026 NCQA HEALTH PLAN RATINGS
For the first time in its history, San Francisco Health Plan (SFHP) has earned a 4.5-star rating in the 2026 NCQA Health Plan Ratings. NCQA considers health plans earning 4.5 or 5 Stars to be among the highest-rated health plans in the nation. This achievement comes as SFHP prepares to celebrate 30 years of serving San Francisco's most vulnerable communities.
Wausau city employees face 76% deductible hike under 2027 health plan
Wausau city employees' health insurance deductibles would jump 76% in 2027 under a plan committees approved to hold the premium increase to 9.6%.
Only 46% of Gen Z, Millennial health plan members trust payers: Accenture survey
Member trust in insurers is on the decline among Gen Z and Millennials, down 10.5% between 2023 and 2026, new research from Accenture found. | This trust gap, according to analysts, could cost $3 billion in future member lifetime value for the largest commercial payers over the next decade.
Medallion Acquires Andros to Expand AI-Native Credentialing Across Health Plans and Provider Organizations
/PRNewswire/ -- Medallion, the only AI-assisted credentialing and enrollment platform with expert oversight, today announced it has acquired Andros, an...
NC State Health Plan, Atrium Health partner to expand options for 750,000 members
RALEIGH, N.C. — The North Carolina State Health Plan and Atrium Health have announced a new partnership that will expand coverage options for plan members begin
Outcome of employment lawsuit could promote use of skimpy health plans
A long-running lawsuit challenging what it means to be an employee and therefore have access to work-based health plans is being closely watched by health policy analysts.
As Federal Law Kicks In, Oregon Health Plan Will Soon Be Harder for Thousands to Get
In the coming weeks, more than 600,000 Oregonians on the Oregon Health Plan are set to get letters notifying them that they may soon be subject to new work or activity rules if they want to keep the health coverage.
In a reversal, NC Health Plan moves some Atrium hospitals to mid-tier for 2027
A dozen Atrium hospitals will no longer be designated as “non-preferred” under the plan’s new tiered network, taking effect Jan. 1, 2027.
New NC State Health Plan agreement will avoid big cost hikes for using some Atrium hospitals
NC State Health Plan reaches an agreement with Atrium Health to move some of its hospitals and clinics to a lower expense tier.
CT insurance department approves rate hikes for 2027 health plans
CT elected officials criticized the approved average rate hike of 11.3% for 2027 state-regulated, individual health plans.
Rising health care costs prompt changes for Washoe County, school district employees
Washoe County and school district boards approved health plan changes for 2027 due to rising costs, impacting thousands of employees.
United Way launches health plan for Indiana nonprofits
By Eniola Longe | Inside INdiana Business
Your Employer's Health Plan Is the Single Largest Tax Break in America, and It Never Shows Up on Your Return
The biggest tax break most American workers receive never appears on their return, never gets debated at filing time, and quietly delivers a bigger federal subsidy to higher earners than anything they could ever itemize.
Arkansas Department of Health plans to cut 38 jobs, eliminate additional 33 empty positions
The Arkansas Department of Health plans to eliminate 71 positions, including 38 that are currently filled, effective Nov. 1, a department spokesperson said Friday.
Arkansas Department of Health plans to cut 38 jobs, eliminate additional 33 empty positions
The Arkansas Department of Health plans to eliminate 71 positions, including 38 that are currently filled, effective Nov. 1, a department spokesperson said Friday.
Arkansas Department of Health plans dozens of layoffs in November
The Arkansas Department of Health will eliminate 71 positions on Nov. 1 to better align its resources with the agency’s budget priorities and long-term goals.
His Retiree Health Plan Kept Paying After 65. It Paid Only What Medicare Would Have Left Over, and He Had Never Enrolled
His former employer's retiree plan kept paying claims for three years, and every explanation of benefits looked fine until a hospital stay produced a bill worth thousands of dollars that no one had warned him was coming.
Provider data errors are putting health plan AI investments at risk
Only 12% of health systems and health plans rate their provider data quality as excellent, new research finds
Sticker shock as health insurance premiums increase ahead of new coverage cliff
Washington’s insurance commissioner has approved an average 22.2% increase in premiums for health plans sold through the state’s insurance exchange next year.
WA officials rush to help thousands keep health plans as Medicaid cuts loom
Washington state leaders are trying to help about 200,000 people retain their health insurance as federal changes to Medicaid are rolled out in the coming months.
Nearly All Health Systems and Health Plans Need Better Provider Data. Few Have It, and AI Investment Is at Risk.
/PRNewswire/ -- Health systems and health plans rank network and market expansion as the strategic priority that would benefit most from better provider data....
WA approves double-digit rate hike for individual health insurance plans
The state insurance commissioner on Wednesday approved a 22.2% average rate increase for individual health plans in 2027 — an announcement that set off alarm bells from consumer advocates and policymakers over the ballooning cost of coverage. Washingtonians who buy...
St. John's parent company sues Medi-Cal plan for over $30M left unpaid
Gold Coast Health Plan is being sued by a hospital system that alleges it is owed more than $30 million in unpaid claims.
Ohio-based Clarence Health brings personalized health support to everyday life
Managing your health doesn’t stop when you leave the doctor’s office. Clarence Health helps people stay organized, prepare for medical visits and create personalized health plans, all in one place.
600,000 Oregonians may be impacted by Medicaid work requirement changes
More than half a million Oregonians who are currently enrolled in the Oregon Health Plan could be impacted by new work requirements.
Health Plans Have the SDoH Data. New Research Shows only 7% are Highly Effective at Using It.
Health plans are collecting significant amounts of social drivers of health (SDoH) data, but only few believe they are highly effective at turning that information into action, according to new research from national health care consultancy Sage Growth Partners. Sage's survey of 50 health plan leaders found that 60% collect SDoH screening data, yet just 7% describe their organizations as "very effective" at acting on that information.
NASCO and Doxim Partner to Modernize Health Plan Administration and Improve Communications
/PRNewswire/ -- NASCO, a leading provider of healthcare technology solutions, today announced a strategic partnership with Doxim®, a leader in customer...
NASCO and Doxim Partner to Modernize Health Plan Administration and Improve Communications
NASCO, a leading provider of healthcare technology solutions, today announced a strategic partnership with Doxim®, a leader in customer communications management (CCM) and engagement technology for highly regulated markets. The collaboration brings together NASCO's deep health plan administration expertise with Doxim's omnichannel communications capabilities to help health plans modernize operations and deliver more seamless, personalized experiences for all healthcare stakeholders.
H1 acquires Defacto Health to expand provider network intelligence
H1 has acquired Defacto Health, a healthcare data company focused on provider network intelligence, in a move to expand its offerings for health plans and strengthen its healthcare data assets. | H1 has acquired Defacto Health, a healthcare data company focused on provider network intelligence, in a move to expand its offerings for health plans and strengthen its healthcare data assets.
Trinity Health plans to lay off 500 information technology-related roles
Association Health Plans Could Give Small Businesses A Break On Health Costs
Small businesses have struggled with the rising cost of health insurance for years. The Trump administration may soon give them a meaningful way to fight back.
Association Health Plans Could Give Small Businesses A Break On Health Costs
Small businesses have struggled with the rising cost of health insurance for years. The Trump administration may soon give them a meaningful way to fight back.
NC Medicaid, State Health Plan strategies diverge on GLP-1 coverage
More than 34,500 Medicaid beneficiaries had $47.9 million in weight-loss GLP-1 claims in June, while State Health Plan coverage remains limited.
Pa. Health insurers propose 2027 rate hikes as Pennsylvanians grapple with rising costs
Thousands of Pennsylvanians dropped their health plans purchased on the state’s Affordable Care Act marketplace, Pennie, after the expiration of federal subsidies more than doubled monthly costs. Now, many health insurers that offer plans through Pennie are proposing rate increases for 2027.
Public health planner answers questions on homelessness strategic plan
City staff has planned focus groups, stakeholder input meetings and one-on-one interviews to develop a strategic plan.
3 Stocks Tied To Rising HSA Use Including CVS Health Stock
Health Savings Accounts are quietly becoming a core part of how Americans pay for care, with more employers auto enrolling workers and pairing HSAs with high deductible health plans. That shift channels more money through platforms that handle contributions, custody, and investments. For investors, the question is which stocks may benefit most from this structural change. This article walks through three HSA exposed stocks from our screener and what the news could mean for each. The three...
Cancer patient feels "like collateral damage" after MGB Health Plan removes Dana-Farber from Medicare Advantage network
Vitality Acquires Icario, Creating Health Engagement Platform Serving 19 Million Members
Vitality has acquired Icario, creating a combined health engagement platform that will serve approximately 19 million members and 30% of U.S. health plans, including eight of the country's 10 largest plans.
MGB Health Plan removes Dana-Farber Cancer Institute from Medicare Advantage network
NJ panels OK rate hike for public worker health plans, deadlock on increase for teachers
Double-digit hikes approved for state and local government worker plans, but a separate panel deadlocked on increases for school workers' plan
Blue Ridge Health plans new medical facility in Hendersonville
WLOS News 13 provides local news, weather forecasts, traffic updates, notices of events and items of interest in the community, sports and entertainment programming for Asheville, NC and nearby towns and communities in Western North Carolina and the Upstate of South Carolina, including the counties of Buncombe, Henderson, Rutherford, Haywood, Polk, Transylvania, McDowell, Mitchell, Madison, Yancey, Jackson, Swain, Macon, Graham, Spartanburg, Greenville, Anderson, Union, Pickens, Oconee, Laurens, Greenwood, Abbeville and also Biltmore Forest, Woodfin, Leicester, Black Mountain, Montreat, Arden, Weaverville, Hendersonville, Etowah, Flat Rock, Mills River, Waynesville, Maggie Valley, Canton, Clyde, Franklin, Cullowhee, Sylva, Cherokee, Marion, Old Fort, Forest City, Lake Lure, Bat Cave, Spindale, Spruce Pine, Bakersville, Burnsville, Tryon, Columbus, Marshall, Mars Hill, Brevard, Bryson City, Cashiers, Greer, Landrum, Clemson, Gaffney, and Easley.
Johns Hopkins Health Plans taps interim CEO as it searches for successor
Daniel Chojnowski, JHHP’s current CFO, will provide stability so that the Baltimore-area insurer can recruit full-time for its next chief executive, the company said.
New research: For lower costs without worse outcomes, vertically integrate healthy health systems with certain health plans
Hospital-operated Medicare Advantage plans can help streamline post-hospitalization care of discharged inpatients while cutting episode-of-care costs and maintaining good patient outcomes.
Stanford Health Care, John Muir Health to cut 173 Bay Area jobs
Stanford Health Care is eliminating 95 technology and administrative jobs in Palo Alto, while John Muir Health plans to cut 78 positions across several East Bay locations.
CHI St. Vincent & CommonSpirit Health opt out of AR Blue Cross Blue Shield networks
CHI St. Vincent has opted out of the healthcare provider networks of Arkansas Blue Cross and Blue Shield and its associated health plans (Arkansas Blue Medicare
Novant is making it easier for health plan members to get ready for 2027 benefits
Novant and UNC Health will become preferred providers starting Jan. 1.
NYC Health + Hospitals and Maimonides Health Transaction Moves Forward to Next Step After Unanimous New York State Advisory Board Vote
In a unanimous vote on Thursday, August 27, the Establishment and Project Review Committee of the New York State Public Health and Health Planning Council
Health plan in NY deny your claim? Research says keep appealing
For home health care, 78.4% of claims denials taken to the second level of appeals were overturned during tthe study period, researchers found.
Healthcare Costs Are Squeezing Montana’s State Workforce
Some employees will see their insurance contributions double and individual deductibles triple as the state confronts dwindling reserves in its employee health plan.
Neronha urges R.I. regulators to reject proposed health insurance premium hikes
Neronha’s office has formally submitted a brief objecting to Neighborhood Health Plan of Rhode Island’s request for a rate increase of 22.4 percent.
Labor Department to propose expansion of association health plans, which could lower insurance costs for some workers
The agency has submitted a rule proposal to the White House that could allow more workers to get health insurance through association health plans.
Neronha urges state regulators to reject proposed health insurance premium hikes
Rhode Island Attorney General Peter Neronha is urging state regulators to deny proposed 2027 health insurance premium increases from Neighborhood Health Plan and Blue Cross Blue Shield, arguing the hikes are untenable for Rhode Islanders.
Corewell Health plans hospital facility updates in Troy, Grand Rapids
“High-Deductible Health Plans Are Not the Answer”
In a new study, LDI Fellows found that high-deductible plans reduce health care spending at first, but may not slow spending growth over time.
Morehouse School of Medicine, Atrium Health plan new teaching hospital in southwest Atlanta
Highmark Health Plans appoints new president
Highmark Health Plans — the Pittsburgh based nonprofit that insures nearly 8 million people — has a new president. Gustavo “Gus” Giraldo will begin effective immediately, parent company Highmark Health announced Monday. Giraldo comes most recently from CVS Health-owned Aetna, where he served as senior vice president of individual and
Highmark Health boosts Q2 operating income
Led by gains in its health plans and hospital subsidiaries, Highmark Health on Monday reported more than a six-fold increase in operating income for the...
Highmark Health Plans names new president
Gustavo (Gus) Giraldo has been named president of Highmark Health Plans, replacing Tom Doran, who is leaving the organization to pursue other opportunities,...