Author: Andrew Cass

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

The Justice Department is asking a Texas federal court to dismiss its case against SCA Health that alleged the company agreed with competitors not to poach senior-level employees.   

Portland-based Oregon Health & Science University and Aetna have averted a looming contract split. 

Major health insurers are offering Medicare Advantage plans in more counties in 2024 than they did in 2023, according to a Nov. 8 report from KFF.

UnitedHealth Group's board of directors authorized a $1.88 per-share cash dividend to be paid on Dec. 12. 

Blue Cross Blue Shield of Massachusetts' plan to remove 14,000 prior authorization requirements for home care services is a response to the capacity crisis in the state's hospitals, the payer's chief medical officer Sandhya Rao, MD, told NPR affiliate WBUR…

From UnitedHealthcare starting its second wave of cuts to lawmakers urging CMS to increase its oversight of artificial intelligence used in Medicare Advantage prior authorizations, here are seven updates on prior authorization Becker's has reported since Sept. 18. 

Humana announced it is sponsoring four pickleball organizations in response to the increasingly popular sport's "life-changing benefits both on and off the courts," according to a Nov. 6 news release. 

Houston-based Memorial Hermann issued termination notices for Humana's Medicare Advantage HMO and PPO networks and could go out of network if a new deal is not reached by Jan. 1, Houston Public Media reported Jan. 1. 

Humana PPO payment rates for diabetes with complications ranged from $31,998 for Houston-based Memorial Hermann to $6,376 for Johnson City, Tenn.-based Ballad Health, according to data compiled by Hospital Pricing Specialists.