Becker's Payer Issues | Payer News

One question was at the root of Aetna Better Health of Illinois’ recent partnership with Elektra Health, a virtual menopause care platform: “Where are we seeing healthcare needs popping up that don’t have a solution?” During an episode of the…

Geisinger Health Plan has named Jeremy Gaskill as its new president and executive vice president of insurance operations for the Danville, Pa.-based health system.  Mr. Gaskill previously spent more than two decades at Humana, where he most recently served as…

Oakland, Calif.-based Kaiser Permanente is suing nine liability insurers for breach of contract, alleging they have refused to cover any portion of its $556 million settlement with the federal government resolving False Claims Act allegations tied to Medicare Advantage billing…

Editor’s note: The bill was held without a committee vote on Feb. 23. It is not expected to advance this session. Original article: Arizona providers could face license suspension or revocation for submitting too high of payment offers during No…

A federal appeals court has handed a win to Cigna, affirming the dismissal of a class action lawsuit that alleged the insurer’s exclusion of weight loss drug coverage amounted to disability discrimination against members with obesity. The U.S. Court of…

An insurance brokerage president and the CEO of a marketing company were each sentenced to 20 years in prison for their roles in a scheme to fraudulently enroll individuals in subsidized ACA plans to obtain commission payments from insurers. What…

The Justice Department and the state of Ohio on Feb. 20 filed a civil antitrust lawsuit against OhioHealth, alleging the system used anticompetitive contract provisions to drive up healthcare costs for patients and employers in central Ohio. Four things to…

The insurance industry has shed more than 54,000 jobs since the end of 2024, according to new data from the Bureau of Labor Statistics. Three notes:

Connecticut will continue contracting with Anthem Blue Cross and Blue Shield and Quantum Health to administer the state’s employee health plan and municipal partnership plan, which together cover more than 250,000 state and municipal workers, retirees and their dependents. Under…

Connecticut enrolled a record 157,246 residents in marketplace plans for 2026, a 4% increase over last year, even as national ACA enrollment fell by more than 1 million people. The state’s marketplace, Access Health CT, announced the results Feb. 19.…