Becker's Payer Issues | Payer News

Tricare Prime Demo by CareSource Military and Veterans is coming to Tampa, Fla., and Atlanta next year. Through the Department of Defense, Tricare offers health plans to uniformed service members, retirees and their families. CareSource Military and Veterans President Holly…

This year, Elevance Health began covering doula care for members of some employer-sponsored health plans. Cynthia Brown, MD, medical director and clinical lead for women’s health at Elevance Health, joined the Becker’s Payer Issues podcast for an upcoming episode on…

New York Gov. Kathy Hochul has signed legislation requiring insurers to cover follow-up screening and diagnostic services for lung cancer without imposing cost sharing on members. The law takes effect Jan. 1, 2027, and amends state insurance law governing individual,…

Horizon Blue Cross Blue Shield of New Jersey is exploring a move to a new headquarters building in downtown Newark as part of a mixed-use redevelopment project. The insurer’s current headquarters at Penn Plaza East would be redeveloped under a…

Elevance Health has rolled out its virtual assistant to 22 million commercial members, with a Medicare expansion planned for 2026. The tool, accessible through the Sydney Health app and affiliated plan websites, allows members to ask plain-language questions about coverage,…

A Florida bill aims to establish a marketplace for employees to use their premium contributions through individual coverage health reimbursement arrangements. The bill would build on the state’s former health insurance marketplace, modifying the name to the Florida Employee Health…

Ann & Robert H. Lurie Children’s Hospital of Chicago will not accept any ACA plans in 2026, according to the hospital’s website. “Lurie Children’s is currently not contracted and out of network with all exchange plans inside and outside of…

Senate Democrats are introducing legislation to extend enhanced premium ACA tax credits by three years, according to Senate Minority Leader Chuck Schumer. The bill would come to the Senate floor for a vote Dec. 11, “and every single Senate Democrat…

Premera Blue Cross named Rajat Puri as COO, according to a Dec. 4 news release. Mr. Puri will focus on managing the insurer’s technology and operations teams to improve member experience across customer service, billing, claims processing, information technology and…

More than half of ACA marketplace enrollees would be likely to pick up extra work if healthcare costs increase by $1,000 per year, a Dec. 4 KFF analysis found. With enhanced tax credits set to expire at the end of…