Author: Jakob Emerson

Behavioral science can help health plans achieve their goals by changing the behavior of members and providers, according to executives with Blue Cross Blue Shield of Massachusetts. They recommend that all health plans implement an internal "nudge unit," or a…

On May 18, HHS and the Treasury Department approved Virginia's waiver application to establish the "Commonwealth Health Reinsurance Program" that aims to reimburse some payers for a percentage of members' high claims and reduce premiums.

Two drug distributors cannot sue Optum under federal civil rights claims for allegedly losing them customers by denying accreditation from state pharmacy boards, a federal appeals court ruled May 19.

New York Attorney General Letitia James' office announced that a settlement administrator has completed $13.6 million in payments to consumers who were denied mental healthcare coverage by UnitedHealthcare. 

Grand Rapids, Mich.-based nonprofit Priority Health has appointed Alicia Coronas as its first vice president of employer solutions products.

Blue Shield of California is investing $7 million over five years into a new fellowship program at the University of California Berkeley School of Public Health that aims to increase diversity among healthcare professionals and train them to use data…

From Humana's $1.2 billion joint venture to build 100 value-based primary care clinics to the expansion of a provider network to include Dominican Republic policyholders, these are 10 recent payer partnerships:

The effect on premiums when pre-deductible coverage was expanded to 14 services in HSA-eligible health plans ranges from virtually nothing to 1.5 percent, according to a new study from the Employee Benefit Research Institute.

Parker-Hannifin, a motion and control technology manufacturer, has reported a data breach affecting about 120,000 people to HHS, the largest HIPAA breach reported about a health plan on the HHS Office for Civil Rights portal in 2022.

Maryland Gov. Larry Hogan signed legislation May 16 that places a cap on insulin copays at $30 per month.