Payer

Wellcare, Centene's Medicare Advantage business, is partnering with the American Legion on Medicare Advantage plans designed to complement benefits veterans receive through the VA. 

CenterWell, Humana's older-adult focused primary care business, is expanding to in-home primary care. 

Greenville, S.C.-based Prisma Health is alleging UnitedHealthcare breached its confidentiality agreement with the system in the midst of contract negotiations. 

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.