Payer

HHS paused Medicaid enrollments in 30 states reporting issues with their automatic renewal systems, and some states are enacting or considering Medicaid expansion. 

Private insurers are covering the full cost of COVID-19 vaccines for beneficiaries this fall, payer executives told HHS Secretary Xavier Becerra. 

Health plan operations are full of repetitive work cycles and tasks requiring highly specialized knowledge. How do you ensure your tools and processes reduce no- or low-value activities and unlock the capacity for employees to focus on more thoughtful work?

Four states received increased federal Medicaid funding during the COVID-19 pandemic, though they may have terminated beneficiaries' coverage in violation of continuous coverage rules in place during the public health emergency, an audit by HHS' Office of Inspector General found. 

UCHealth Plan Administrators is joining Select Health, the nonprofit insurance arm of Salt Lake City-based Intermountain Health that serves more than 1 million members across Utah, Idaho and Nevada.

Medicare Advantage and Medicare Part D premiums, benefits and plan choices won't be changing much in 2024, CMS said Sept. 26.

Miami-based primary care provider Cano Health is selling the bulk of its centers in Texas and Nevada.

Cigna agreed to pay $150,000 to settle allegations from the Virginia Bureau of Insurance that it violated state law by failing to provide required balance billing disclosures. 

Building and maintaining successful value-based care arrangements is difficult and will require innovative thinking from leaders across the healthcare spectrum, according to Aetna's Southeast region president, Rich Weiss.

The Cigna Group is facing a growing number of lawsuits from members and a shareholder following a ProPublica report that alleges the company denies large batches of members' claims without individual review, thereby denying them coverage for certain services.