Author: Rylee Wilson

Oscar Health Chief Transformation Officer R. Scott Blackley will return to the CFO role, effective Aug. 14. 

A study of Blue Cross Blue Shield claims data from five states found price increases were a bigger contributor to rising emergency room costs than upcoding. 

Premiums for insurance on the ACA exchange in Virginia will increase over 25 percent next year, according to data from the KFF-Petersen Health System tracker. 

Commonwealth Care Alliance has named Amy Helwig, MD, as chief quality officer. 

Many individual insurance plans offered on the ACA exchange in New York and Virginia will see premium increases of over 20 percent in 2024, according to data from the KFF-Petersen Health System tracker. 

Brookings (S.D.) Health System will no longer be in-network with any Medicare Advantage plans in 2024, the Brookings Register reported Aug. 7. 

The Cigna Group is facing a legal challenge to its prior authorization process and is expecting more pressure on its individual insurance margins. 

Artificial intelligence, progress in health equity and innovations in value-based care will drive change in the payer space in the next decade, industry leaders told Becker's. 

CVS Health saw the largest gains in commercial membership of major payers in the second quarter of 2023, adding 159,000 members. 

Insurers have proposed average ACA exchange premium increases of 6 percent for 2024, according to a report from Petersen-KFF's health system tracker.