A shareholder is suing the Cigna Group in Delaware's Court of Chancery to obtain more information about the company's claims review process following a ProPublica report that alleges the company denies large batches of members' claims without individual review, Law360 reported Sept. 13.

Payer executive moves reported by Becker's in 2023:

MetroPlusHealth has named Mary DiGangi as chief people officer. 

As Medicaid redeterminations continue, Florida is facing allegations it illegally discriminated against families and children of color in its redetermination process, and Hawaii has paused disenrollments for the remainder of 2023 in the wake of the Maui wildfires. 

North Dakota and Utah had the highest percentage of privately insured individuals in 2022, according to data from the U.S. Census Bureau, published Sept. 14. 

Blue Cross Blue Shield of Michigan's president and CEO, Daniel Loepp is retiring at the end of 2024 after more than two decades with the company.

Prominence Health Plan, a subsidiary of King of Prussia, Pa.-based Universal Health Services, is rebranding to Prominence Health. 

Texas had the highest percentage of uninsured residents in 2022, while Massachusetts had the lowest, according to new data released by the Census Bureau Sept. 14 as part of its American Community Survey. The national uninsured rate was eight percent.

More than 1,000 Blue Shield of California employees will work at the company's new office space in Long Beach.. 

Time and Statista released their list of the 750 "best" companies in the world, which includes seven U.S. health insurers.

Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the largest insurer within their respective state.

The 4th U.S. Circuit Court of Appeals said Sept. 13 it won't review a lower court's ruling that certified class-action status in a lawsuit alleging Aetna and OptumHealth Care Solutions conspired to use "dummy code" to make administrative fees appear to be billable medical charges.

Common medical procedures can cost more than twice as much when they take place in a hospital outpatient setting compared to a physician office or ambulatory surgery center, according to an analysis published Sept. 14 by the Blue Cross Blue Shield Association.

Mike Murphy, one of the longest-serving Blue Cross Blue Shield CEOs, says relationships with providers have not worsened over his 16 years at the helm of Anthem BCBS Nevada — they've just grown more complicated. 

CVS Health CEO Karen Lynch said she is "optimistic" Aetna will improve its Medicare Advantage star ratings for 2024. 

Some payers are reporting big savings with value-based care efforts. 

There is a small pool of executive candidates who can oversee millions of lives and produce positive financial results for large healthcare organizations, and payers have shown they are willing to take those executives to court when they leave for new opportunities.

Corvallis, Ore.-based Samaritan Health Services has terminated its commercial and Medicare Advantage contracts with UnitedHealthcare.

Reactions to Blue Shield of California's decision to drop its contract with CVS Caremark to manage pharmacy benefits in favor of a partnership with five companies have been overblown, CVS Health CEO Karen Lynch said. 

The nation's largest Latino civil rights organization, UnidosUS, along with 12 other state and national organizations, have filed a complaint with the HHS Office of Civil Rights regarding what they say is Florida's "illegal discrimination" under the Civil Rights Act against families and children of color amid the state's Medicaid redetermination process.