Author: Staff

The number of Americans enrolling in unsubsidized health plans via the ACA exchanges fell 40 percent from 2016-18, according to data CMS released Aug. 12.

St. Elizabeth Healthcare, a five-hospital system in Edgewood, Ky., is voluntarily participating in a new effort launched by Anthem Blue Cross and Blue Shield to lower unexpected, sometimes million-dollar medical bills.

Anthem, Centene, Cigna, Humana and UnitedHealth Group all reported higher profits in the second quarter of fiscal year 2019, while Molina Healthcare saw profits decline.

Here are 11 recent articles posted by Becker's Hospital Review that concern payer-provider relationships:

Now may be the time for Health Care Service Corp. to consider a merger with some Blue Cross and Blue Shield plans, including Anthem, according to an editorial by Bruce Japsen published in Forbes.

Humana filed a lawsuit against Mallinckrodt, alleging the drugmaker partook in "one of the most outrageous price-gouging schemes in the history of American medicine."

A ranking member of the Senate healthcare committee called Centene Corp. "callous" in a letter to CMS officials after a meeting with the insurer's CEO, according to The Dallas Morning News.

Tennessee's Medicaid program has launched an effort to better integrate patients' physical and mental healthcare, with the aim of saving state and federal money and improving patient care, according to NPR.

Blockchain networks are being used within the healthcare insurance arena to improve the tracking of multiple transactions from different sources, according to The Signal.

Medica, a health insurer based in Minnesota, will cap the cost of insulin for its Minnesota members at $25 a month, according to TwinCities.com.