Insurers denied around 17 percent of in-network claims for ACA Exchange plans in 2021, according to an analysis from Kaiser Family Foundation.
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The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest profits in 2022.
The nation's largest payers have filed their fourth-quarter earnings reports, revealing which recorded the largest revenue in 2022.
Centene will pay California $215 million, the largest payment the company has made to settle allegations it overcharged state Medicaid programs.
Payer executives are still taking stock of tougher Medicare Advantage auditing standards CMS unveiled Jan. 31.
Memphis, Tenn.-based Methodist Le Bonheur Healthcare has reached a contract agreement with Blue Cross Blue Shield of Tennessee on plans covering Medicaid beneficiaries.
BCBS Tennessee has promoted Charriet Womble to director of regulatory compliance and Medicare compliance officer.
SCAN Health Plan has named Michael Blea as chief growth officer.
Humana has entered a five-year agreement with ChenMed to provide in-network services to Humana Medicare Advantage members.
Elevance Health CEO Gail Boudreaux has been elected to chair the Business Council, becoming the first woman to lead the association of top CEOs in its 90-year history.