Author: Andrew Cass

A former Anthem employee is suing the company for allegedly violating the state's labor laws. 

Wilton, Conn.-based Employee Benefit Solutions CFO Erin Verespy has been sentenced to 66 months in prison for her role in a $33 million fraud scheme. 

Georgia's insurance commissioner has fined Blue Cross Blue Shield $5 million for violations of state laws and agency rules and regulations, the commissioner's office said March 29. 

UnitedHealth Group's Optum unit has agreed to buy Lafayette, La.-based home-health firm LHC. 

Medicare's hospice regulations are not working as intended for many people with dementia, a Rutgers University sociologist told the Washington Post in a March 26 article. 

Oregon has agreed to pay $22.5 million to settle a years-long legal dispute with a company that provided care to Medicaid patients, according to a March 26 Salem Statesman Journal article. 

The National Committee for Quality Assurance honored Centene with the Innovation Award for Health Equity.

A March 24 report from the Kaiser Family Foundation found that at least 1 in 5 insulin users with private health insurance would benefit from a proposed $35 out-of-pocket spending cap. 

A data breach at a Blue Cross and Blue Shield of Kansas subcontractor affected about 2,800 members, the company told CBS affiliate WIBW March 24. 

CMS released guidance March 22 regarding health plans' payment of health care claims using virtual credit cards (VCCs) and adopted HIPAA standards for healthcare electronic funds transfers (EFT)  and remittance advice (ERA) transactions.