Author: Jakob Emerson

From state-level expansions of the federal No Surprises Act to insulin copay caps, these recently passed state bills or laws will have an impact on payers:

Hospital readmission rates and Medicare payments to nursing facilities dropped among Black patients who received a hip or knee replacement surgery after the introduction of Medicare's Comprehensive Care for Joint Replacement model, according to a new study from the Icahn…

Connecticut has selected Aetna for a three-year Medicare Advantage contract that will serve approximately 57,000 retirees and their dependents across the state, pending negotiations. 

Flume Health, a digital platform startup for health plan administration, named Richard Fu chief growth officer.

Two Northern Light Health hospitals in Maine are becoming tier 1 providers with Anthem, effective July 1, according to WCSH.

Cigna updated its Loneliness Index on May 26 to include more data around which demographics are facing feelings of loneliness more than others among the 58 percent of all U.S. adults who report being lonely.

Payers are expecting to issue a total of about $1 billion in medical loss ratio rebates across all commercial markets in 2022, according to a study published June 1 by the Kaiser Family Foundation.

There is significant underdiagnosis and unnecessary suffering by Black and Hispanic individuals with major depression, and action is needed from payers to reverse the trend, according to a study published May 31 by the Blue Cross and Blue Shield Association.

Getting payers to cover drugs meant to treat obesity can be difficult, but some physicians say there are workarounds, according to The New York Times.

The Labor Department is suing Atlanta-based Aliera Companies and its CEO, Shelley Steele, for allegedly violating the Employee Retirement Income Security Act by paying themselves and affiliated companies with health plan assets.