Author: Jakob Emerson

First announced in 2016, the joint-venture health plan between Banner Health in Phoenix and Aetna has hit several milestones: five years of operations and more than 375,000 enrollees.

Lifespark has named Matt Nyquist chief population health officer to lead the St. Louis Park, Minn.-based company's design, development and management of global risk products and market expansion.

Optum has launched a comprehensive laboratory benefit management solution aimed at helping payers reduce unnecessary lab testing and ensuring that members can receive high-quality tests most appropriate for them.

On June 21, the U.S. Supreme Court declined to hear UnitedHealthcare's appeal of a CMS rule meant to recoup Medicare Advantage overpayments from payers.

Canton, Ohio-based US Acute Care Solutions has named Christopher Hummer its CEO. 

Blue Cross and Blue Shield of Texas and Fredericksburg-based Hill Country Memorial Hospital reached a contract agreement June 16 to keep the hospital in network and avoid disruptions in service, according to the Fredericksburg Standard-Radio Post.

The Justice Department said Molina Healthcare and former subsidiary Pathways of Massachusetts have agreed to pay a settlement of $4.625 million over allegations of False Claims Act violations and improper licensure and supervision of healthcare employees.

COVID-19 was the eighth-highest condition for stop-loss claims reimbursement, and there was a 354 percent increase in the total number of claims compared to 2020, according to a report published June 21 by Sun Life.

New Jersey state officials are no longer looking to claw back $34 million from Horizon Blue Cross Blue Shield of New Jersey for a service that allegedly was not provided to state employees through their health plan, Bloomberg reported June…

Cigna Medical Group, a division of the payer's Arizona business, has named Jeff Holt president and general manager.