ACA premium subsidies included with federal COVID-19 relief are particularly beneficial to those living in rural areas, according to a May 3 report from the Urban Institute.
The Latest
From the University of Mississippi Medical Center and UnitedHealthcare reaching a multiyear agreement, to a Maine physician group dropping Anthem, here are five recent contract disputes and agreements involving payers:
Sarah Moyer, MD, has been named chief medical officer for Humana's Medicaid business in Kentucky, Humana Healthy Horizons, effective July 5.
Bright Health Group reported massive enrollment growth across its commercial, Medicare Advantage and value-based lines, but recorded a net loss of more than $180 million in the quarter ending March 31, according to its first-quarter earnings report released May 4.
Payers and pharmacy benefit managers say specialty drugs now account for 50 percent or more of the total prescription spending they manage, Forbes reported May 3.
With an estimated 65 million Americans covered under value-based care plans by 2025, payers are making big investments in care delivery models that focus on quality over quantity. From partnerships with providers to billion-dollar purchases of home care services, these…
Bingham Farms, Mich.-based United Physicians and Agilon Health have entered a long-term partnership to transition United's primary care delivery system for Medicare Advantage patients to a full-risk value-based care model.
Portland, Maine-based Fore River Urology is terminating its contract with Anthem, Maine Public Radio reported May 2.
Government Accountability Office head Gene Dodaro appointed four new members to the Medicaid and CHIP Payment and Access Commission May 2.
Four House lawmakers said it is "well past time to bring prior authorization into the 21st century," following an HHS report on Medicare Advantage denials.