Author: Andrew Cass

  Forty-two Democrats in Congress are calling on the Biden administration to toss short-term health plans they say pose financial risks to consumers.  

Ten providers —  including Northwestern Medicine and St. Charles Health —  recently posted job listings seeking leaders in payer contracting and relations.

Molina Healthcare of Iowa named Tim Gutshall, MD, chief medical officer April 25. 

CMS proposed a rule change April 22 it said would eliminate delays in Medicare coverage and extend coverage of immunosuppressive drugs for certain beneficiaries.

An audit from the HHS Office of the Inspector General estimates California improperly claimed at least $23.1 million in Medicaid reimbursement for opioid treatment services.  

Mississippi's insurance commissioner is urging the state's largest hospital and insurer to resolve their dispute, writing that a split would have a devastating impact on patients, Mississippi Today reported April 21. 

Humana is selling a 60 percent stake in its Kindred at Home hospice and personal care business to the private equity firm Clayton, Dubilier & Rice. 

MaineHealth officials are standing firm on their decision to drop Anthem from its flagship hospital, Bangor Daily News reported April 20. 

A federal compilation of frequently asked questions about transparency in coverage regulations set to go into effect later this year was released April 19. 

From the dismissal of a lawsuit by Cigna shareholders to accusations UnitedHealth inflated prescription drug prices in Louisiana's Medicaid program, here are five recent legal actions involving payers: