Centene Corp. will extend its offerings on the ACA's health insurance marketplace in 10 states for 2020, the health insurer said Aug. 13.
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A coding issue led Anthem to mistakenly notify patients in Virginia that their physician was out of network, according to ABC affiliate WHSV.
Aetna's plan to correct Medicaid payment and network deficiencies falls short, Kansas health officials said Aug. 13, according to local radio station KCUR.
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."
The lines between payer and provider are blurring, as providers take on risk and health plans partner or acquire providers.