Author: Rylee Wilson

Medicaid policy experts think North Carolina could be the next state to expand Medicaid, Politico reported Nov. 30. 

Some payers are exiting markets because of economic challenges, while others have been asked to leave by regulators. Here are 11 market exits taking effect in 2023. 

Around 5,700 people have signed up for a Colorado pilot program to extend health insurance to undocumented residents, The Denver Post reported Nov. 30. 

Lapses in insurance coverage were associated with a higher mortality risk for both publicly and privately insured adults, a study published Nov. 23 in JAMA Health Forum found. 

Increased utilization rates for medical services and an easing hospital labor shortage could mean smaller profit margins for payers, The Wall Street Journal reported Nov. 29. 

Pittsburgh-based Allegheny Health Network has received $1.3 billion from payer Highmark Inc. since 2018, the Pittsburgh Post-Gazette reported Nov. 30. 

Payers are swapping pharmaceutical benefit managers, adding partnerships with Amazon and looking at billionaire investor Mark Cuban's new approach to dispensing drugs. 

After a year-long dispute with Blue Cross Blue Shield of Illinois, Springfield Clinic is rolling out its own health plan, the State Journal-Register reported Nov. 29. 

Thousands of patients will be left out-of-network if Regence BlueShield of Washington and Optum-owned The Polyclinic and The Everett Clinic do not reach an agreement by Dec. 19, The Seattle Times reported Nov. 28. 

AHIP is pushing back on claims that Medicare Advantage plans are overcharging the government.