Author: Jakob Emerson

The nation's largest insurers are gearing up for upcoming changes to Medicare Advantage risk adjustment rules that could collectively cost them up to $3 billion in returned payments, with Humana potentially facing the biggest penalties, Bloomberg reported Jan. 24.

The Blue Cross Blue Shield Association has released a set of policy proposals it says will reduce U.S. healthcare costs by $767 billion over 10 years.

HealthPartners has named Alita Risinger as senior vice president and CFO for care delivery.

CVS Accountable Care Organization and Chicago-based Rush University System for Health are collaborating on ACO REACH participation for Medicare members in the Chicago area.

Online insurance marketplace eHealth has named Ketan Babaria as senior vice president and chief digital officer.

From payers diving deeper in social determinants of health to expanded payer-provider models, these are six payer partnerships reported by Becker's since Dec. 15:

L.A. Care Health Plan is the largest publicly operated health plan in the nation, serving more than 2.7 million low-income members in Los Angeles County.

Wishful thinking about the impact of technology in healthcare and unrealistic beliefs that valuations can increase forever have slowed the industry's transformation for the better, according to Sachin Jain, MD.

Solis Health Plans, a Medicare Advantage company in Florida, has named Maria Cabeza as director of sales and marketing.

The FDA sent a warning letter to Optum Infusion Services Dec. 13 after the agency said it found "serious deficiencies" in safety practices at a Chandler, Ariz., facility where it produces compounded medications.