Author: Rylee Wilson

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

Cigna and Cincinnati-based Mercy Health could split, leaving thousands of patients without in-network access to their provider, if the two sides cannot reach a contract agreement by Jan. 1, the Cincinnati Enquirer reported Dec. 9. 

Payers have embraced the shift to remote and hybrid work. Some payers have downsized office space this year, and others have reworked new spaces to better accommodate hybrid work. 

Payers invested in value-based care throughout 2022, teaming up with Walmart and many other companies to prioritize quality-based payments. 

Changes in payment rates and beneficiary characteristics were the main drivers of the slowdown in Medicare spending growth from 2012 to 2018, a study published Dec. 2 in JAMA Health Forum found. 

Knowing where Medicare Advantage dollars are being spent is a top priority for CMS, Administrator Chiquita Brooks-LaSure said at the Milken Future of Health Summit on Dec. 8. 

More than 2,000 independent pharmacies will rejoin Tricare's network, managed by Cigna's Express Scripts, Navy Times reported Dec. 8. 

Aetna is moving out of its 83,512-square-foot call center in Bethlehem, Pa., The Morning Call reported Dec. 8. 

In 2022, payers expanded their mental health networks and focused on wellness and whole-person care.

A judge granted the University of Minnesota a temporary injunction in the university's lawsuit against UCare, preventing the payer from amending its bylaws to change its board while litigation is ongoing.