Author: Staff

Anthem Blue Cross is halting reimbursement of consultation services for its commercial plans. 

Baton Rouge (La.) General plans to end its Medicare Advantage contract with Humana if a new deal is not reached by May 3, The Advocate reported March 16. 

Molina Healthcare, a Fortune 500 insurance company, was called out over low reimbursement to providers and errors in its provider directory, according to a report from investigative media firm Dolcefino Consulting. 

Six healthcare payers or health systems with integrated health plans were among 136 companies honored as the "World's Most Ethical Companies" by the Ethisphere Institute, a company that defines and measures corporate ethical standards.

Here are six payer-provider contracting disputes and settlements that have occurred since Jan. 1:

Healthfirst, New York's largest not-for-profit insurer, serves a diverse population of 1.7 million people. Errol Pierre, senior vice president of state programs at Healthfirst spoke in a McKinsey podcast March 10 to discuss how the payer serves the diverse group…

Because of the American Rescue Plan, 14.5 million Americans enrolled in a Marketplace plan during the 2022 open enrollment period, representing a 21 percent national increase over 2021, the White House said.

BlueCross BlueShield of Texas and Houston-based Memorial Hermann said March 11 they reached a new agreement to keep 100,000 members in-network.

Despite seeing revenue gains and significant membership growth, three of the largest health insurtech providers — companies that blend technological innovations with traditional insurance — posted losses exceeding $570 million in 2021.

Regence BlueShield added three new sales leadership roles to maximize growth and ensure top-line service to members.