Medical Mutual’s Negotiations Ongoing with Licking Memorial Health System

Medical Mutual is currently in active contract discussions with Licking Memorial Health System, working diligently to negotiate in good faith to keep providing their members and employer groups with affordable (more…)

Ambetter Health Will Exit Detroit for Plan Year 2026

Beginning January 1, 2026, Ambetter Health will not be offering plans in Detroit, Michigan. As a result, Ambetter Health will be exiting Macomb, Monroe, Oakland, and Wayne counties for plan (more…)

Updates Regarding Anthem KY MLR for ACA and Grandmothered Groups

Anthem pays annual rebates to fully insured groups when their medical loss ratio (MLR) is less than 85 percent for large groups or 80 percent for small groups. Anthem KY (more…)

Upcoming Webinar: Learn More About UnitedHealthcare’s Restaurant Association Plan

Grow your portfolio with a UnitedHealthcare health plan designed to meet the needs of your restaurant and hospitality industry clients with options for both full-time and part-time employees. Join UnitedHealthcare’s (more…)

Update to Anthem Ohio’s Health Plan Network

Anthem’s contracts with Allen Emergency Physicians, LLC and Lorain Emergency Physicians, LLC, are ending August 31, 2025. This means your client’s employees may pay more for non-emergency care received from (more…)

Extended Coverage for Short-Term Plans Now Available!

The Centers for Medicare and Medicaid Services (CMS) recently released a statement regarding the 2024 final rule on short-term, limited duration health insurance. The statement reads: “Until future rulemaking is issued (more…)

Anthem KY Group Administrator Manuals

Anthem has developed comprehensive Group Administrator Manuals tailored specifically for their ACA, Chamber Advantage, and Grandmothered group plans. These manuals are crafted to provide quick answers and step-by-step directions for (more…)

Register for UnitedHealthOne’s August Product Training Webinars

Join UnitedHealthcare for their upcoming August Product Training Webinars. These webinars are designed to help you gain an even better understanding of UnitedHealthcare products, services, and best practices. Click below (more…)

Anthem Has Reached a New Multi-Year Agreement with OhioHealth

Anthem recently confirmed a new multi-year agreement with OhioHealth effective August 1, 2025. This agreement continues uninterrupted access to care at OhioHealth hospitals, facilities, and physician practices for Anthem members (more…)

Medical Mutual Updates Regarding Modified Amendments Approved for ORC 3902.63 (Ohio HB 315) Cost-Sharing

Updated Certificate amendments were approved by the Ohio Department of Insurance in regards to the Ohio Revised Code section 3902.63 portion of Ohio House Bill 315 stating any cost-sharing, including (more…)

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