Health insurers gear up for legal battle over ACA payments
Since February, five health insurers — Health Republic Insurance, Highmark, Land of Lincoln Health, Blue Cross and Blue Shield of North Carolina and Moda Health — have filed suits against the federal government over unpaid risk corridor payments. Now, New Mexico Health Connections may join the legal fray.
Metamark expands network to BCBS of Texas
Blue Cross Blue Shield of Texas and Metamark Genetics partnered to extend urology diagnostic services to BCBS policyholders.
Illinois insurance co-op latest to close, leaving 49,000 uninsured
Chicago-based Land of Lincoln Health will shut down following news it owed $31.8 million in risk adjustment payments under the Affordable Care Act.
Froedtert, Ascension nix deductibles for low-income patients
Ascension Health in St. Louis, Mo., and Froedtert & the Medical College of Wisconsin in Milwaukee eliminated deductibles for people enrolled in the health systems’ respective insurance plans who make less than 250 percent of the federal poverty level.
Presbyterian Health Plan exits ACA exchange
Effective December 31, Presbyterian Health Plan will no longer offer individual coverage on government exchanges.
Anthem Blue Cross of Calif. to launch bundled payment program for cancer care
Anthem Blue Cross of California and Valley Radiotherapy Associates Medical Group in Manhattan Beach, Calif., entered an episode-of-care agreement for patients diagnosed with breast cancer who need radiation treatment.
23,000 to lose coverage as Oregon’s Health Co-op closes
Effective July 15, Oregon’s Health Co-op will shutter its doors following news it owed $900,000 in risk corridor payments under the ACA.
Insider: WellCare, Centene bid for Aetna’s $1B Medicare assets
WellCare Health Plans and Centene, among other insurers, made offers to buy Aetna’s Medicare Advantage assets. Aetna plans to divest its MA holdings in a bid to win regulatory approval of its proposed Humana acquisition.
Wisconsin Children’s Hospital to sell plans on ACA marketplace
Children’s Hospital and Health System in Milwaukee plans to sell insurance products on the ACA marketplace next year.
Evergreen Health to pay $24M in risk adjustment payments
Evergreen Health learned it owes $24.2 million in risk adjustment payments under the ACA.
More articles on payer issues:
BCBS of Wyoming seeks 7% increase to premium rates
Health insurers gear up for legal battle over ACA payments
In Oregon, risk corridor program kills co-ops, bolsters Kaiser, BCBS
