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News
Mass General Brigham removes Dana-Farber from its Medicare Advantage insurance network, affecting over 20,000 members
13+ hour, 51+ min ago (1016+ words) Eldon Clingan has had the same cancer specialist at Dana-Farber Cancer Institute for more than two decades. He trusts her, he said, and credits her with saving his life. Starting Oct. 1, though, the 88-year-old retired accountant will either have to…...
House adds AI rules, longer runway to primary care bill
1+ mon, 6+ day ago (433+ words) House Democrats advanced a highly anticipated primary care reform package Wednesday that also imposes new guardrails on the use of artificial intelligence, bolsters oversight of pharmacy benefit managers, and creates an accelerated process for state public health regulators to vet…...
UnitedHealth insurer defrauded MassHealth out of $100 million, AG lawsuit alleges
3+ mon, 6+ day ago (357+ words) Massachusetts Attorney General Andrea Joy Campbell on Friday sued UnitedHealth Group’s insurance subsidiary, UnitedHealthcare, alleging the company intentionally made low-income older adults appear sicker than they were over the past decade to boost its bottom line. UnitedHealthcare received at least…...
Health insurers again propose double-digit premium increases
3+ mon, 1+ week ago (373+ words) Nearly 700,000 Bay Staters are facing the prospect of double-digit premium increases next year as insurers struggle to handle cost pressures across the healthcare landscape, possibly exacerbating affordability woes for patients. Blue Cross Cross Blue Shield of Massachusetts — which has the…...
The Medicare Advantage ecosystem is changing, and patients are caught in the middle
10+ mon, 2+ week ago (951+ words) Tens of thousands of senior Massachusetts residents may find that Medicare Advantage plans are charging higher premiums, shrinking provider networks, covering fewer drugs, and offering fewer perks as Medicare’s open enrollment period gets underway. The popular plans managed by private…...
Dumped by insurance plans, millions of seniors scramble for health coverage
5+ mon, 1+ week ago (1503+ words) At 70, landscape artist Anthony J. Petchkis lives with a host of health problems. There was the heart attack that sent him on an ambulance ride from his home in the mountains of New Hampshire to Portland, Maine, for an arterial stent....
Enrollment in Connector health plans rises by 1.6 percent
7+ mon, 1+ week ago (1168+ words) The Boston Globe Enrollment in Connector health plans rises by 1.6 percent Just over 97,000 Bay Staters enrolled in unsubsidized plans accessed through the Massachusetts Health Connector for 2026 coverage, according to numbers posted following the end of open enrollment last week. That…...
Healey to eliminate insurer prior authorizations for some drugs and services
7+ mon, 3+ week ago (833+ words) Massachusetts health insurers will face new restrictions around the much-maligned practice of prior authorizations, eliminating the red tape around how patients access some drugs and services, Governor Maura Healey said Wednesday. At a State House news conference, Healey said she…...
Vermont's nursing homes lose 900 beds in 20 years
7+ mon, 4+ week ago (1543+ words) With the second-oldest population in the country, Vermont needs its nursing homes. Yet, while Vermonters rapidly age, the state’s long-term care capacity has dwindled, losing 900 beds in the last two decades. To keep the struggling system afloat, the state has…...
Blue Cross, UMass Memorial reach contract deal, averting crisis for nearly 200,000 patients - The Boston Globe
9+ mon, 3+ week ago (785+ words) UMass Memorial Health and Blue Cross Blue Shield of Massachusetts have reached an agreement on a new contract, preserving health care access for nearly 200,000 people. Though the sides declined to specify any details of their new three-year agreement, the deal…...