Payer

Elevance Health has faced legal action and hold-ups to proposed acquisitions in August. 

Cincinnati-based Bon Secours Mercy Health is suing Anthem Blue Cross Blue Shield of Virginia for $93 million, alleging the payer owes the health system millions in unpaid claims, according to a lawsuit filed in a Virginia circuit court.

Over a dozen states have excessive wait times for Medicaid call centers or high rates of call abandonment, according to CMS. 

Coverage for newly-approved RSV vaccines varies among insurers, The New York Times reported Aug. 25. 

Cigna Healthcare will exit some ACA markets in 2024 and expand to 15 new counties in North Carolina. 

The nation's largest health insurers are no longer just insurers — nearly all have restructured and grown into health services giants capable of paying for care and providing it too. 

Many Medicare Advantage beneficiaries disenroll from their plans within five years of enrolling, a study published Aug. 25 in JAMA Health Forum found. 

Few consumers have heard the term value-based care, a survey from EmblemHealth found. 

Pittsburgh-based UPMC's insurance services division grew membership 11 percent in the first six months of 2023 compared to the same period last year, but operating income declined by $74 million.

As more employers switch to offering healthcare benefits to retired employees through Medicare Advantage, lawmakers are eyeing legislation to require employers to offer retirees a choice between traditional Medicare and MA.