Payer

Cigna's Evernorth Health Services is building a new innovation hub in Galway, Ireland.

Vermont providers are pushing for the passage of a state bill that aims to reform the prior authorization process, while Blue Cross and Blue Shield of Vermont has raised concerns that the proposal could cause rates to rise. 

AHIP's chief executive criticized the hospital lobby's response to the Change Healthcare cyberattack as "opportunistic" and "maintaining the status quo."

Around 1 in 4 Medicaid beneficiaries disenrolled during the redeterminations process are now uninsured, according to a survey from KFF. 

The Justice Department is investigating whether Norfolk, Va.-based Sentara Health's insurance arm unfairly increased premiums in 2018 and 2019 as it received more than $655 million in federal subsidies, The Virginian-Pilot reported April 9. 

Health insurance lags behind other industries when it comes to customers' experiences with digital platforms, according to a report from J.D. Power. 

Blue Cross & Blue Shield of Rhode Island reported a $26 million operating loss in 2023, which it said reflected a "substantial surge in medical and pharmacy claims."

Bloomberg reported April 11 that UnitedHealth Group's chairman and three of the company's executives made a combined $101.5 million from stock sales made over a four-month period leading up to the public becoming aware of a Justice Department antitrust investigation. 

AHIP, the American Medical Association and the National Association of ACOs have released a playbook of voluntary best practices for value-based care payment arrangements. 

Ten providers recently posted job listings seeking leaders in payer contracting and relations.