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DocGo expands mobile health services to L.A. Care
DocGo is working with L.A. Care Health Plan to bring its mobile health services to Medicare and Medicaid members in Los Angeles. -
10 states where residents spend the highest proportion of salaries on health insurance
NiceRx collected health insurance data from ValuePenguin and compared it to the annual personal income in each state to determine which states' residents spend the largest proportion of their salaries on health insurance costs. -
Premiums will 'skyrocket' if marketplace subsidies expire, HHS says
HHS said premiums will skyrocket if Congress does not extend the subsidies for federal and state marketplace insurance plans included with federal coronavirus relief that are set to expire at the end of the year. -
Colorado receives federal green light to launch state-sponsored health plan
HHS has approved Colorado's plan to launch a state-sponsored health plan on the ACA marketplace that payers will be required to sell at a lower cost. -
Walmart expands doula coverage to 3 more states
Walmart is expanding access to doula services for employees on a company medical plan in Louisiana, Indiana and Illinois. -
Oregon payers not following reproductive health coverage law, audit finds
An audit has found that payers operating in Oregon are not following a state law that requires coverage of reproductive health services, according to the Oregon Capital Chronicle. -
How 2 payers reach their non-English-speaking members
Here are some of the ways Blue Cross Blue Shield of Massachusetts and Florida Blue get information to their non-English-speaking members: -
'Father of the HMO,' Dr. Paul Ellwood Jr., dies
The man referred to as the father of the HMO, Paul Ellwood Jr., MD, has died at 95, the New York Times reported June 22. -
10 recent legal actions involving payers
Here are 10 recent legal actions involving payers: -
California revokes payer's Medicare license
California state officials ordered Golden State Medicare Health Plan to break all existing contracts with clients by June 1, with Medicare coverage ending August 1, according to the San Luis Obispo Tribune. -
'Time is of the essence' to extend ACA subsidies, CMS administrator says
CMS Administrator Chiquita Brooks-LaSure said "time is of the essence" for Congress to extend ACA subsidies, MarketWatch reported June 22. -
Nonprofit payers urge federal health equity policy
The Association for Community Affiliated Plans, a trade group of 74 nonprofit health plans representing over 20 million members, is urging federal lawmakers to increase support for addressing social determinants of health through proposed health equity policies. -
Q&A: Tom Grote, CEO of Banner|Aetna, on joint venture's 1st 5 years
First announced in 2016, the joint-venture health plan between Banner Health in Phoenix and Aetna has hit several milestones: five years of operations and more than 375,000 enrollees. -
Optum launches solution for health plans to streamline lab testing, management
Optum has launched a comprehensive laboratory benefit management solution aimed at helping payers reduce unnecessary lab testing and ensuring that members can receive high-quality tests most appropriate for them. -
Supreme Court rejects UnitedHealthcare appeal of Medicare Advantage overpayment rule
On June 21, the U.S. Supreme Court declined to hear UnitedHealthcare's appeal of a CMS rule meant to recoup Medicare Advantage overpayments from payers. -
Molina settles claims of MassHealth fraud, improper licensure of healthcare staff for $4.6M
The Justice Department said Molina Healthcare and former subsidiary Pathways of Massachusetts have agreed to pay a settlement of $4.625 million over allegations of False Claims Act violations and improper licensure and supervision of healthcare employees. -
Stop-loss COVID-19 claims jumped 354% in 2021, study finds
COVID-19 was the eighth-highest condition for stop-loss claims reimbursement, and there was a 354 percent increase in the total number of claims compared to 2020, according to a report published June 21 by Sun Life. -
New Jersey won't claw back $34M from Horizon BCBS over alleged undelivered services
New Jersey state officials are no longer looking to claw back $34 million from Horizon Blue Cross Blue Shield of New Jersey for a service that allegedly was not provided to state employees through their health plan, Bloomberg reported June 21. -
Texas Supreme Court denies $3M premium tax refund to BCBS
The Texas Supreme Court ruled 5-4 on June 17 that Blue Cross Blue Shield of Texas cannot receive a $3 million tax refund from its stop-loss policies that reimburse self-insured employers because they are a form of health insurance, according to Law360. -
Walgreens partners with Buckeye Health Plan to expand Health Corners business
Walgreens Health is partnering with Buckeye Health Plan to expand its Health Corners service to Medicaid members in five Ohio locations this summer.
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