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Thursday, Mar 20 2025

Full Issue

State Officials Brace For Fallout If Massachusetts Insurer Collapses

Commonwealth Care Alliance provides health care to nearly 50,000 elderly, disabled, and low-income individuals. Also in the news: Veradigm, Cigna, Cone Health, Jefferson Health, and Hippocratic AI.

State officials said this week they are preparing in case Commonwealth Care Alliance collapses, in an effort to protect the health care of the struggling insurer鈥檚 nearly 50,000 elderly, disabled, and low-income members. In case members must transfer to a more basic version of the state鈥檚 Medicaid program, MassHealth, the state has sought proposals from vendors who could take over the intensive work of coordinating patients鈥 care, a service that Commonwealth Care provided but MassHealth鈥榮 basic platform typically does not. (Bartlett, 3/19)

Veradigm, a healthcare data company, confirmed on Tuesday it overstated聽its revenue in prior year-end financial statements.聽The company found discrepancies in its financial statements from 2020-2022, overstating revenue聽in 2020 and 2022 while understating revenue in 2021. It blamed the errors on 鈥渋nternal control failures." (Turner, 3/19)

Blue Cross and Blue Shield licensee Health Care Service Corp. has closed its $3.3聽billion purchase of Cigna鈥檚 Medicare operations, the companies announced Wednesday. The deal, which includes Medicare Advantage, Medicare Part D and Medicare supplement assets along with the CareAllies consulting unit, quadruples Health Care Service Corp.'s Medicare Advantage membership to about 800,000 and closes the book on Cigna's Medicare plan business. (Berryman, 3/19)

Cone Health President and CEO Dr. Mary Jo Cagle is stepping down May 31 due to a family health matter. Interim Chief Operating Officer Bernard 鈥淏ernie鈥 Sherry will serve as interim CEO starting June 1, and a new COO will be named in the coming weeks, according to a Wednesday news release. The health system is conducting a nationwide search for a permanent CEO, the release said. (Hudson, 3/19)

Jefferson Health is making聽changes to its leadership team's responsibilities as the system integrates with Lehigh Valley Health Network. Jefferson President Dr.聽Baligh Yehia is expanding his role to oversee the combined system's growth and clinical integration across three legacy Jefferson regions and two legacy Lehigh Valley regions. Dr. Brian Nester, chief operating officer at Jefferson and former president and CEO at Lehigh Valley, is COO of the enterprise. (Hudson, 3/19)

Hippocratic AI is launching its next generation of artificial intelligence models as it aims to stand out in an increasingly competitive space. The generative AI company said Wednesday it's planning to add multiple features focused on customer service to its suite of AI tools聽for health systems, payers and pharmaceutical companies. The models will聽triple-check聽patients'聽labs and medications聽as well as聽help route patients to a human when needed.聽(Turner, 3/19)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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