Author: Staff

The state of Georgia is suing HHS after the agency implemented changes that removed a requirement for Medicaid beneficiaries to work in order to be eligible for coverage, Bloomberg reported Jan. 21. 

Anthem Blue Cross Blue Shield named Robert Bunch president Jan. 20, but the move comes as the payer potentially faces a new opponent in its legal battle against Atlanta-based Northside Hospital System, according to 11Alive. 

The coverage gaps created by the Biden administration's at-home COVID-19 test coverage guidelines doesn't solve barriers for a population that faces already-increased risks: Medicare beneficiaries, according to a Jan. 24 Kaiser Health News report. 

The widespread adoption of telehealth is what UnitedHealth Group CMO Margaret-Mary Wilson, MD, calls "one of the most dramatic changes" in healthcare, but the next step is using that development to drive health equity. 

HHS' Office of the National Coordinator for Health Information Technology is looking for public comments on prior authorization to help guide standards, implementation and certification. 

From a pair of Blue Cross Blue Shield presidents slated to retire to GuideWell naming its first chief health equity officer, here are nine recent moves from payer executives:

GS Labs is responding to a July 2021 lawsuit from Blue Cross and Blue Shield of Kansas City with a counterclaim that alleges the payer violated federal antitrust laws and conspired with other affiliated companies to withhold payments. 

Virtual care isn't just seeing an increase in patient volume amid the COVID-19 pandemic, but also an increase in patient savings, according to a Cigna analysis shared with Becker's. 

Oscar Health is providing members with an enhanced virtual cost estimation tool in an effort to increase medical cost transparency. 

UnitedHealth Group may be slated to give more attention to home-based care, company executives said during a Jan. 19 earnings call.