Ten payers are involved in 85 percent of all disputes involving out-of-network emergency and nonemergency items in services under the No Surprises Act's independent dispute resolution process, according to a recent CMS report.
The Latest
New Jersey has become the eighth state to require state-regulated health plans to cover abortion services.
Amerigroup Maryland, an Elevance Health subsidiary, has rebranded as Wellpoint Health.
Medicare Advantage plan Cigna HealthSpring of Tennessee received $5.9 million in overpayments from the federal government in 2016 and 2017, according to an HHS Inspector General's Office audit.
Regence BlueShield of Washington and Optum-owned Everett (Wash.) Clinic and Polyclinic have reached an agreement to keep 19,000 commercial members in-network.
California is awarding more payers contracts to manage its Medicaid program, reversing course on contract awards that could have forced two million Medi-Cal members to switch insurance.
From several new CEOs to a C-suite reshuffle at Centene, these are 16 recent payer executive moves reported by Becker's since Dec. 1:
UnitedHealthcare has named David Milich as CEO of employer and individual operations in its central region, according to a Dec. 27 LinkedIn post.
Memphis, Tenn.-based Methodist Le Bonheur Healthcare is out of network with Blue Cross Blue Shield of Tennessee after the sides were unable to reach a new agreement by Dec. 31, the Memphis Commercial Appeal reported Jan. 2.
From investing in VillageMD's acquisition of Summit Health, to being sued by the Justice Department for allegedly making its Medicare Advantage members appear sicker than they were, here are eight key headlines about Cigna Becker's reported in 2022: