Payer

Patients enrolled in BlueCross BlueShield of Illinois Medicaid can access all OSF HealthCare hospitals and physicians as part of their insurance plan, effective Aug. 8. 

Medicare Advantage enrollment is highly concentrated among a small number of payers, with just two payers accounting for 47 percent of all enrollees in 2023, according to an Aug. 9 analysis from KFF.  

A study of Blue Cross Blue Shield claims data from five states found price increases were a bigger contributor to rising emergency room costs than upcoding. 

Premiums for insurance on the ACA exchange in Virginia will increase over 25 percent next year, according to data from the KFF-Petersen Health System tracker. 

Rhode Island Attorney General Peter Neronha filed objections with the state's health insurance commissioner over the rate hike proposals from six payers. 

North Carolina's budget negotiations could continue into September, which would delay the start date of the state's Medicaid expansion, NBC affiliate WRAL reported Aug. 7. 

Many individual insurance plans offered on the ACA exchange in New York and Virginia will see premium increases of over 20 percent in 2024, according to data from the KFF-Petersen Health System tracker. 

Those who have been tuning in to the latest season of ABC's The Bachelorette may have seen former and future UnitedHealth Group employee John Buresh starring in a main role.

August 8, 2023, TAMPA, FL— Healthmap Solutions, Inc. (Healthmap), an NCQA-accredited Kidney Population Health Management company, announced its partnership today with Triple-S Management Corporation (Triple-S), a health services organization based in San Juan, Puerto Rico. This partnership introduces Healthmap’s proven…

The Cigna Group is facing a legal challenge to its prior authorization process and is expecting more pressure on its individual insurance margins.