Payer

Independence Blue Cross is partnering with financial services firm Sun Life to offer stop loss insurance to its self-funded group customers.

From its Optum arm striking a deal to acquire Amedisys, to a warning of rising medical costs, here are 11 updates from UnitedHealth Group that Becker's has reported since June 13: 

Nearly half of Medicare Advantage beneficiaries report having at least one health-related social need, a study published in the July issue of Health Affairs found. 

Five publicly traded companies have 50 percent of the Medicaid-managed care market, according to a July 6 analysis from KFF. 

Lawsuits from large companies and employers are increasingly being filed against third-party health plan administrators in an effort to access complete employee medical claims data. 

The Biden administration issued proposed rules July 7 that aimed to crack down on "junk" short-term health insurance plans. 

Caps on Medicare prescription drug costs will save Part D enrollees a collective $7.4 billion in 2025, according to a report from HHS' Office of the Assistant Secretary for Planning and Evaluation. 

Over the last two years, Priority Health's maternity management program, "PriorityMOM," has achieved a 16 percent decrease in emergency room visits for pregnant members who may experience complications pre- or post-delivery. 

There are several demographic and socioeconomic differences between individuals who select traditional Medicare coverage versus Medicare Advantage plans before they turn 65 and who have commercial insurance, according to a new study from researchers at Harvard Medical School and software…

As the number of Americans with Alzheimer's disease or related dementias continues to grow, a survey of payer executives suggests the industry is moving too slow or not at all toward better managing cognitive decline among members.