Author: Jakob Emerson

Oscar Health is leaving two states by the end of this year and Humana is building hundreds of value-based primary care clinics for Medicare patients across the country. These are 11 recent moves involving payers to exit or enter markets:

The United Health Foundation is making a $100 million investment over the next 10 years to advance health equity by helping to build a more racially and ethnically diverse healthcare workforce.

Colorado Gov. Jared Polis signed legislation June 7 that will allow pregnant people, their children and all children access to Medicaid beginning in 2025, regardless of citizenship status.

Mediation for contract negotiations between Blue Cross & Blue Shield of Mississippi and the University of Mississippi Medical Center has started but is moving at a "snail's pace," according to the state's insurance commissioner, Mississippi Today reported June 7.

A $5,000 out-of-pocket spending cap on Medicare would result in major savings for enrollees, but would also increase federal Medicare spending by $38.8 billion in 2023, according to a study published June 6 by the Urban Institute.

The U.S. District Court for the District of New Jersey is allowing a lawsuit to proceed against Cigna that alleges the payer has illegally refused to reimburse a radiology lab for $1.5 million spent on COVID-19 testing, violating the Employee…

Much of the world has changed because of the COVID-19 pandemic, and that includes the emergence of virtual-first health plans, or insurance policies that prioritize telehealth for enrolled members.

The Federal Trade Commission is launching an inquiry into the pharmacy benefit manager industry and requiring the six largest PBMs to provide information and records regarding their business practices. 

Mutual of Omaha has named Keith Clark chief marketing officer.

Anthem is launching a new telehealth platform to offer digital care to women for pregnancy, menopause and other women's health issues through a partnership with New York City-based Happify Health.