Author: Staff

Grand Rapids, Mich.-based payer Priority Health told members Feb. 14 that an unauthorized user accessed private information through its Priority Health Member Portal. 

Profits were down year over year for half of the country's largest payers in 2021, but didn't stop double-digit growth for others. 

Anthem Blue Cross Blue Shield in Ohio closed its acquisition of a state Medicaid contract from Paramount Advantage Feb. 15. 

Corey Ewing was named CEO of WellCare of Kentucky, a Centene subsidiary, effective Feb. 14.

Six payers dominate the health insurance landscape in the United States, but each has taken dramatically different paths that define their approaches to the industry today. 

Two Huntington, W.Va.-based health systems, Marshall Health and Mountain Health Network, have become co-owners of West Virginia University Health System-founded payer Peak Health. 

Payers, including Blue Shield of California, have been strong-armed to contract with the entire Sutter Health hospital system instead of being able to pick specific facilities to bring into their networks, according to Law360. 

The Louisiana Department of Health will award five payers contracts to administer its state Medicaid program. 

California is reforming its Medicaid program, Medi-Cal, to address social determinants of health — a move that shifts state-sponsored health coverage toward whole-person health, according to CalMatters. 

Rochester, Minn.-based Mayo Clinic is no longer allowing some Medicare Advantage beneficiaries to schedule appointments, according to the Star Tribune.