Payer

Elevance Health's managed Medicaid plans in 21 states have been recognized by the NCQA for their advanced health equity efforts.

Almost half of the nation's local commercial insurance markets are majority controlled by one payer, according to the American Medical Association. 

Two Little Rock, Ark.-based ASCs are seeking potentially millions of dollars in unpaid reimbursements from Arkansas Blue Cross and Blue Shield for procedures performed during the COVID-19 pandemic, Arkansas Business reported Dec. 11.  

Centene CEO Sarah London foresees major disruption opportunities ahead in the employer group insurance market by way of individual marketplace coverage.

Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare Advantage members' medical claims, according to a class-action complaint filed Dec. 12.

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

From its Optum arm adding nearly 20,000 physicians in 2023 to outlining its 2024 revenue expectations, here are 12 updates on UnitedHealth Group that Becker's has reported since Nov. 27: 

Centene expects 2024 revenues to be at least $142.5 billion

A settlement agreement with South Carolina in late December brought the total amount that Centene paid in 2023 to resolve allegations it overbilled state Medicaid programs for pharmacy services to $307 million. 

Humana has disbanded its executive committee, according to a Dec. 7 regulatory filing from the company.