Anthem's chief information officer, Anil Bhatt, is working with Google Cloud to create a synthetic data platform that will help the company detect fraudulent claims and provide more personalized care to members, according to The Wall Street Journal.
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U.S. Solicitor General Elizabeth Prelogar told Supreme Court justices that a case asking whether payers and pharmacy benefit managers face Employee Retirement Income Security Act liability when negotiating drug prices doesn't merit review, Bloomberg reported May 25.
Franklin, Tenn.-based Clover Health has named Scott Leffler CFO, effective in August.
Scarborough-based Coastal Women's Healthcare has joined two other Maine providers in dropping Anthem insurance plans, CBS affiliate WGME reported May 25.
Medicare Advantage enrollment saw major growth across the insurance industry in the first quarter of 2022 and over the last year. Now, payers are making plans to increase that growth even further.
Allianz Partners has signed an agreement to take over Aetna International's health insurance portfolio outside the Americas and India. Allianz Ayudhya has also acquired 100 percent of Aetna Thailand.
Friday Health Plans Management Services Co., a Denver-based health insurance holding company, has raised $120 million in funding to primarily offer its health plans in new Affordable Care Act marketplaces.
An employer-built health plan. It may not be a concept you've ever heard of, but those that build and use them will tell you they're the best kept secret in the world of health insurance. Becker's decided to explore more…
A federal judge in California has approved a class-action settlement requiring Anthem Blue Cross to reprocess claims for eating disorder treatments or pay up to $5,500 for denied claims, Bloomberg reported May 25.
Bipartisan legislation was introduced May 24 in the Senate that would allow the Federal Trade Commission to increase drug pricing transparency and suppress pharmacy benefit manager practices such as spread pricing and payment clawbacks.