Becker's Payer Issues | Payer News

Medica is taking over certain contracts and assets as UCare’s legacy business winds down, a Nov. 17 news release said and a spokesperson confirmed to Becker’s. “We have the opportunity to build upon both Medica’s strengths and UCare’s legacy, allowing…

Insurer Harvard Pilgrim Health Care, a subsidiary of Point32Health, and Brewer, Maine-based Northern Light Health are partnering to expand the Maine’s Choice Plus product across the state, according to a Nov. 17 news release. Maine’s Choice Plus is a tiered…

Oregon Gov. Tina Kotek, a Democrat, assembled an advisory group to address Medicaid sustainability, according to a draft charter document obtained by Oregon Public Broadcasting. Representatives from the Oregon Health Authority, CareOregon, Health Share of Oregon, Kaiser Foundation Health Plan…

Republicans on the House Ways and Means Committee are considering a bill that aligns with President Donald Trump’s pitch to directly send ACA healthcare subsidies back to consumers, a source told Politico. The source spoke on the condition of anonymity…

CMS released 2026 premium and cost-sharing amounts for Medicare Parts A and B on Nov. 14, with significant increases across most categories. The standard monthly Part B premium will increase to $202.90, up $17.90 from $185 in 2025, or a…

MDwise is laying off 238 employees in January and will close its office in Indianapolis, according to regulatory documents filed Nov. 13. The layoffs come shortly after Indiana said it would remove the insurer as a managed care health plan…

Horizon Blue Cross Blue Shield of New Jersey has agreed to pay $100 million to settle allegations that it fraudulently induced the state to award it a multibillion-dollar contract to administer employee health benefits and then overcharged throughout the contract’s…

Optum Health, the care delivery arm of UnitedHealth Group, has named Krista Nelson as its new CEO. “I’m deeply grateful to be part of an organization with such an important mission and an incredible team,” Ms. Nelson wrote on Linkedin…

The Office of the New York City Comptroller approved the NYC Employees PPO plan, according to a Nov. 14 news release. Under the new health plan, EmblemHealth and UnitedHealthcare will take over the contract from GHI Comprehensive Business Plan, under…

Over 8,700 Bronx residents partook in New York City-based EmblemHealth’s community diabetes wellness program in its first year, according to a Nov. 12 news release from the insurer.  The program offers screenings, nutrition workshops and individualized support, hosting 109 events…