Payer

Horizon Blue Cross Blue Shield of New Jersey — the state's largest insurer — on is defending its new Omnia Health Alliance while lawmakers probe criteria it used to select which providers can participate in the network, according to a…

Although a significant number of lesbian, gay and bisexual adults have gained health insurance since the implementation of the Affordable Care Act and the expansion of Medicaid in 31 states and insurance marketplaces, gaps in care still exist, according to…

The third open enrollment period for the health insurance marketplaces under the Affordable Care Act begins Nov. 1 for coverage effective in January, giving the 25 million adults who still lack healthcare coverage the opportunity to sign up.

CMS reported last week insurers will receive $362 million in risk corridor payments for 2014, or 12.6 percent of the $2.87 billion requested.

In an effort to keep members as rival UPMC grows its insurance business, Pittsburgh-based Highmark is lowering premiums for seven of its nine Medicare Advantage plans for 2016, according to the Pittsburgh Tribune-Review.

Milwaukee-based Assurant Health has closed on the sale of specific business lines and assets from its health insurance business to National General Holdings Corp., effective immediately.

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

Kennebunk, Maine-based Mark Farrah Associates, a provider of health plan market data and analysis tools, recently assessed enrollment trends since the onset of the Affordable Care Act's 2014 enrollment season in October 2013.

The CMS Center for Medicare and Medicaid Innovation has announced a new model to test strategies that aim to improve medication use among Medicare beneficiaries enrolled in Part D.

Karen Ignagni started a new role Sept. 1 as president and CEO of New York City-based EmblemHealth, the parent company of Group Health Incorporated and the Health Plan of New York. In a recent interview with Crain's New York Business,…