Author: Rylee Wilson

A group of payers will display CMS' new "birthing-friendly" hospital designation in their provider directories. 

UnitedHealthcare purchased a $1.15M building near its existing offices in Minnetonka, Minn., Minneapolis/St. Paul Business Journal reported Dec. 13. 

Payers added partnerships with top tech companies, fitness brands and billionaire entrepreneur Mark Cuban's new pharmacy in 2022. 

Around 5 percent of Medicare Advantage plans are audited each year, Kaiser Health News reported Dec. 13. 

CMS is proposing a new rule to streamline options on the ACA marketplace and add more provider network requirements. 

New Jersey's state employee health plan, managed by Horizon Blue Cross Blue Shield of New Jersey, paid millions over what providers charged, Bloomberg reported Dec. 12. 

A group of Democratic senators and representatives are concerned about healthcare organizations with previous allegations of fraud and abuse, including multiple payers, participating in the ACO REACH program. 

Two HIV advocacy groups allege Blue Cross Blue Shield of North Carolina is violating antidiscrimination requirements by pricing HIV drugs in high cost-sharing tiers. 

Kristen Gil, vice president and business finance officer at Google parent company Alphabet, has been named to UnitedHealth Group's board of directors. 

Oscar Health will stop accepting new members in Florida through open enrollment on Dec. 13, the company said Dec. 12.