Aetna failed to accurately calculate qualified payment amounts for air ambulance services, CMS' first audit of an insurer's No Surprises Act compliance found.
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Investing in digital and artificial intelligence technologies is a higher priority for payer CFOs than for their health system counterparts, according to a July 10 report from Deloitte.
The largest health insurance purchaser in Western New York will award its employee health plan to Univera Healthcare, Buffalo News reported July 11.
CMS published updated star ratings for dozens of Medicare Advantage plans, and a federal judge paused a new CMS regulation that would cap the amount insurers can pay brokers who sell their plans.
Illinois Gov. JB Pritzker has signed a pair of health insurance reform bills into law.
Blue Cross and Blue Shield of Louisiana has moved its care management processes and several provider services to the Epic Payer Platform.
Two Blue Cross Blue Shield plans have now lost in federal court for terminating employees that refused to get vaccinated against COVID-19, and other insurers are facing similar lawsuits.
As insurers continue to face major financial pressures related to covering weight loss drugs, many are steering more patients toward bariatric surgery to achieve similar results.
Fort Myers, Fla.-based Lee Health's Physician Group primary care providers will be out of network with Florida Blue's Medicare Advantage plans by September.
SCAN Group has appointed five new executives, including a chief technology officer and chief marketing officer, to grow its Medicare Advantage business.