Jakob Emerson, Author at Becker's Payer Issues | Payer News

5 steps payers should take when developing value-based care plans to ensure health equity

Payers have spent a decade transitioning toward value-based care plans in an effort to improve outcomes and costs for members. But plans that advance quality over quantity have done little to address health inequities, according to Josh Liao, MD, an…

Humana names public health director as chief medical officer of Medicaid line in Kentucky

Sarah Moyer, MD, has been named chief medical officer for Humana's Medicaid business in Kentucky, Humana Healthy Horizons, effective July 5.

Bright Health reports major enrollment boost, $180M loss in Q1

Bright Health Group reported massive enrollment growth across its commercial, Medicare Advantage and value-based lines, but recorded a net loss of more than $180 million in the quarter ending March 31, according to its first-quarter earnings report released May 4.

8 recent payer investments in value-based care

With an estimated 65 million Americans covered under value-based care plans by 2025, payers are making big investments in care delivery models that focus on quality over quantity. From partnerships with providers to billion-dollar purchases of home care services, these…

United Physicians, Agilon Health partner to build value-based primary care system for Medicare Advantage patients

Bingham Farms, Mich.-based United Physicians and Agilon Health have entered a long-term partnership to transition United's primary care delivery system for Medicare Advantage patients to a full-risk value-based care model.

Centene CEO responds to questions over Magellan purchase that spurred California investigation

Centene CEO Sarah London addressed alleged issues with Magellan's Medicaid pharmacy benefits rollout in January during the company's first-quarter earnings call April 26.

UnitedHealthcare limits Aduhelm for all health plans: 'unproven and not medically necessary'

UnitedHealthcare plans will only pay for the controversial Alzheimer's drug Aduhelm for patients in clinical trials who have received prior authorization, according to a medical policy update filed May 1.

Optum, Atrius Health's $236M merger receives final approval

The Massachusetts Supreme Court approved a $236 million merger between UnitedHealth Group subsidiary Optum and Atrius Health on April 29, Atrius Health confirmed to Becker's.

AHIP hits back at Medicare Advantage coverage denial report

America's Health Insurance Plans is criticizing an April 27 report from the HHS Office of Inspector General that found Medicare Advantage Organizations sometimes delayed or denied enrollees' access to services even though the request met Medicare coverage rules.

14 payer exec moves in April

From health tech startups tapping former payer execs to a resignation from a board of directors, these are 14 payer executive moves in the month of April: