Author: Staff

Bright Health Group is positioned to surpass the 1 million member mark in 2022 between its commercial and Medicare lines, the company announced Jan. 10. 

Clover Health saw 25 percent growth in its Medicare Advantage membership over the last year, trumping the industry annual average of 10 percent growth, according to a Jan. 10 news release.  

HHS Secretary Xavier Becerra is ordering CMS to review its 2022 Medicare Part B premiums following the announcement that Biogen would be slashing the price of its Alzheimer's disease drug in half, according to a Jan. 10 news release. 

Payers maintain one of the few remaining ways of holding accountable the 15 percent of U.S. adults unvaccinated against COVID-19: leveraging insurance surcharges and discounts, columnist Glenn Altschuler wrote in a Jan. 10 column for The Hill. 

New Hampshire's Justice Department announced a $21 million settlement with Centene and two of its subsidiaries — Granite State Health Plan and NH Healthy Families — over the payer's pharmacy benefit services.

New Hampshire Anthem Blue Cross and Blue Shield President Lisa Guertin is retiring from her position in March after 18 years at the helm, according to NH Business Review.

A California court ruled against United Behavioral Health, a UnitedHealth Group subsidiary, ending a multiyear class-action lawsuit and requiring the provider pay out over $20 million, according to Bloomberg. 

While conversations around partisanship, funding and education surround President Joe Biden's Build Back Better Act, spectators are largely ignoring how close the bill brings the U.S. to reaching universal healthcare, Washington Post columnist Katherine Rampell wrote Jan. 6. 

South Dakota voters will have a voice in whether the state expands its Medicaid program, Kaiser Health News reported Jan. 6.

An HHS Office of Inspector General audit of seven Healthfirst Health Plan high-risk groups found several diagnosis codes submitted for use in CMS' risk adjustment program did not meet federal guidelines, resulting in more than $516,000 in overpayments within the…