About 2,000 Blue Cross Blue Shield of Michigan beneficiaries may have someone else's January premium bill, NBC affiliate WDIV reported Jan. 31.
The Latest
From several new CEOs and presidents to a new chief innovation officer at UnitedHealth Group, these are executive moves at 23 different payers reported by Becker's since Jan. 1:
Centene has agreed to pay Indiana more than $66 million to settle allegations it overbilled the state's Medicaid program for pharmaceutical services.
Humana posted revenues of nearly $93 billion in 2022 and a net loss of $15 million in the most recent quarter, according to its year-end earnings report published Feb. 1.
The Federal Trade Commission is not expected to challenge UnitedHealth Group's acquisition of home health firm LHC Group, Seeking Alpha reported Jan. 31, citing a CTFN report.
BlueCross BlueShield of Tennessee has completed its first annual health equity report and will use the findings as a benchmark to drive further progress, Andrea Willis, MD, chief medical officer for BCBS Tennessee, said in the Tennessean Jan. 26.
Medicare Advantage plans will face tougher auditing standards after a highly-anticipated ruling from CMS. The program also hit 30 million members in recent weeks, and payers are expecting enrollment numbers to keep climbing.
Blue Cross Blue Shield of Massachusetts is using artificial intelligence to detect more fraudulent claims, an issue that costs the healthcare system billions of dollars every year and raises costs on health plan members.
A trio of U.S. representatives has reintroduced a bill that would rename Medicare Advantage plans, prohibit private insurers from using "Medicare" in plan titles or advertisements and impose "significant fines for any insurer that engages in this deceptive practice."
A group of senators is seeking answers from major payers over "ghost networks" that make it difficult for patients to find in-network mental healthcare providers.