10 payers in the headlines

The following insurers made headlines this week. They are listed below, beginning with the most recent.

1. CMS picks Anthem BCBS in Colorado for CPC+ program
Health insurer Anthem Blue Cross and Blue Shield in Colorado was selected to participate in CMS' Comprehensive Primary Care Plus initiative. 

2. Medica, Briva Health partner for education initiative

Health insurer Medica and provider Briva Health teamed up to provide health insurance education to Minnesota's low-income Medicaid members. 

3. Anthem, Cigna blame each other for violating acquisition agreement
Health insurers Anthem and Cigna accused each other of breaching their $54 billion acquisition agreement, the U.S. Department of Justice wrote in a legal filing.

4. Molina expands exchange footprint as other insurers pull back
Molina Healthcare is entering health insurance markets where other insurers are leaving, and turning a profit.

5. Nemours, UnitedHealthcare ink agreement amid ongoing lawsuit
After a two-year hiatus, Nemours Alfred I. duPont Hospital for Children in Wilmington, Del., and UnitedHealthcare of Delaware reached a network agreement. The contract will not affect Nemours' ongoing lawsuit against the insurer over unpaid medical bills, however. 

6. Aetna, 3 other insurers protest Pennsylvania managed care bid loss
Health insurers Aetna, Molina Healthcare, WellCare and Gateway Health Plan appealed their loss of managed care contracts that the Pennsylvania Department of Human Services granted to three other payers in August.

7. 3 ways Humana uses consumer data to sort members
Health insurer Humana said it uses consumer data to categorize plan members into personality types to better target its care and products.

8. BCBS of Montana, 3 health systems collaborate on health information exchange
Amid a shift toward value-based care, some of Montana's largest healthcare systems and its biggest health insurer are teaming up to establish a pilot program to efficiently and securely share patient medical information.

9. New Mexico health insurance co-op continues to profit, CEO says 
Albuquerque-based New Mexico Health Connections, one of six remaining co-ops created under the Affordable Care Act, is doing well, CEO Martin Hickey, MD, said. 

10. BCBS NC to pay $3.6M for billing, enrollment problems
The North Carolina Department of Insurance issued a $3.6 million fine against Blue Cross and Blue Shield of North Carolina for chronic IT malfunctions that have led to billing and enrollment errors for customers since January.

More articles about payer issues:
Top Medicaid, Medicare health plans in 2016
Anthem, Cigna blame each other for violating acquisition agreement
The best and worst commercial health plans in 2016


Copyright © 2022 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Podcast

Featured Webinars

Featured Whitepapers

Top 40 articles from the past 6 months