Author: Staff

Mississippi's House of Representatives passed an amendment to a bill that would bar the state from contracting Medicaid services to entities that have settled with the state for over $50 million — a move specifically targeting Centene — according to…

Anthem topped the list of payers by total membership, while Aetna saw the smallest growth in 2021. 

Molina Healthcare saw sharp increases in revenues through 2021, anchored by a 47 percent jump in premium revenue. 

A North Carolina judge ruled against Aetna Feb. 9 over an "all or nothing" policy that allegedly resulted in mismatched reimbursements and denied claims for a mental health recovery, according to court documents. 

UnitedHealthcare received $42 million in fraudulent claims over four years from a South Florida clinic, the Justice Department announced Feb. 10. 

America's Health Insurance Plans' board of directors and CMOs issued guidance to payers on protecting patient data as the landscape continues to adopt virtual tools and solutions. 

CMS released additional guidance Feb. 4 on how payers should best cover at-home COVID-19 tests. 

Members are not taking advantage of requirements that payers must cover at-home COVID-19 tests, and signs point to reimbursement woes as a key contributing factor, according to TMJ4. 

While UnitedHealthcare dominated 2021 in terms of revenue among health insurers, it's a tight financial race between many of the country's other top payers. 

President Joe Biden's administration is no longer allowing several states to charge premiums to newly-eligible Medicaid enrollees — an undoing of Obama and Trump-era allowances, according to NPR.