1. Anthem signals ACA exchange presence in Kentucky, Virginia Indianapolis-based Anthem filed preliminary plans to sell insurance on 2018 ACA exchanges in Kentucky and Virginia.
2. Judge dismisses BCBS of North Carolina’s suit to recoup $130M in risk corridors payments
A U.S. Court of Federal Claims judge dismissed a lawsuit filed by Blue Cross and Blue Shield of North Carolina seeking $130 million in payments under the ACA’s risk corridors program.
3. UnitedHealthcare names CEO; Optum appoints CEOs across 3 divisions
Minnetonka, Minn.-based UnitedHealth Group made changes to the executive teams of its UnitedHealthcare and Optum operations.
4. Passport Health Plan to create health and wellness campus, move HQ
Louisville, Ky.-based Passport Health Plan, a Medicaid managed care organization, will develop a 20-acre health and wellness campus to offer community health services and house its headquarters.
5. Humana launches orthopedic value-based care model with 8 specialty groups in Kentucky, Indiana
Louisville, Ky.-based Humana and eight orthopedic specialty groups in Kentucky and Indiana are instating a value-based care model for Humana’s Medicare Advantage members receiving total hip or knee joint replacements.
6. Excellus Health Plan to pay $1M fine for denying contraceptive coverage
The New York State Department of Financial Services fined Excellus Health Plan $1 million for wrongfully denying coverage for contraceptive services.
7. Indian River Medical Center, Aetna at impasse over contract
Vero Beach, Fla.-based Indian River Medical Center and Hartford, Conn.-based Aetna may end their contract if negotiations between the parties fail.
8. Defunct SC co-op sues feds over $36.9M in reinsurance payments
Charleston, S.C.-based Consumers’ Choice Health Plan, a failed health insurance co-op, filed a lawsuit against the federal government claiming the government’s inability to pay reinsurance payments led to its 2015 collapse.
9. Partners’ insurance arm offers money-back guarantee to attract new members
Neighborhood Health Plan, a subsidiary of Boston-based Partners HealthCare, is offering a money-back guarantee to employers with at least 100 workers who join the plan as new customers.
10. BCBS of Minnesota names former Aetna exec COO
Eagan-based Blue Cross and Blue Shield of Minnesota selected Cain Hayes as executive vice president, COO and president of health business.
11. WellCare appoints president for Hawaii-based health plan
Tampa, Fla.-based WellCare Health Plans named Scott Sivik state president of its Kapolei, Hawaii-based ‘Ohana Health Plan.
More articles on payer issues:
Anthem signals ACA exchange presence in Kentucky, Virginia
UnitedHealthcare names CEO; Optum appoints CEOs across 3 divisions
Passport Health Plan to create health and wellness campus, move HQ
At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.
