Payer

Many Medicare Advantage plans have narrow networks for psychiatrists when compared to Medicaid managed care and ACA plans, a study published in the July issue of Health Affairs found. 

From Kraft Heinz employees suing Aetna for alleged claims data mismanagement, to the Supreme Court upholding a decision to dismiss a whistleblower lawsuit against a UnitedHealth Group subsidiary, here are seven lawsuits and settlement involving payers Becker's has reported since…

Eli Lilly is now the largest healthcare company in the world by market value, surpassing UnitedHealth Group, Bloomberg reported July 5. 

Ohio Gov. Mike DeWine signed the state's budget, which includes language requiring the state to ask the federal government if it can impose Medicaid work requirements, cleveland.com reported July 6. 

Squabbles over the state's budget could delay implementation of Medicaid expansion in North Carolina. 

Elevance Health has achieved a drastic reduction in youth and young adult suicides through predictive modeling and clinical outreach.

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

Medicare Advantage profits will likely be stable in 2023 but could face pressure from rising utilization rates in 2024, according to commentary from AM Best published June 30. 

A Kraft Heinz Co. employee benefits group representing employees, retirees and their dependents is suing Aetna for allegedly breaching its fiduciary duties and using its role as third-party claims administrator "to enrich itself to Kraft Heinz's detriment."

New regulations for inpatient services in Medicare Advantage are looming, and new research has found MA enrollees with chronic conditions are likely to stay enrolled in the programand spend less time in the hospital than their fee-for-service counterparts.