A federal judge in North Carolina certified class action status June 5 in a lawsuit alleging Aetna and OptumHealth Care Solutions conspired to use "dummy code" to make administrative fees appear to be billable medical charges.
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Friday Health Plans, which is going out of business, is being sued by its co-founder and former COO David Pinkert for allegedly refusing to pay his severance package after he was terminated earlier this year.
The nation's largest payers saw generally stable financial results in the first quarter of 2023 despite economic uncertainty throughout the broader healthcare industry, according to a June 6 analysis from Fitch Ratings shared with Becker's.
The average cost of addressing social determinants of health is more than double what existing federal programs will cover, according to a study published May 30 in JAMA Internal Medicine.
Humana's CenterWell Senior Primary Care business has opened its 250th center with plans to continue expanding over the next two years.
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Individuals who are prescribed GLP-1 or SGLT-2 drugs for diabetes and who have a low copay are more likely to take those drugs for more than one year compared to those with high copays, according to a study published June…
Blue Cross Blue Shield of Massachusetts annual spending on mental health services for members has doubled to $1.3 billion since 2019, according to data published by the payer June 5.
From an appellate court blocking an attempt to prevent Horizon Blue Cross Blue Shield's reorganization, to arbitrators ruling that UnitedHealthcare must pay Envision Healthcare $91 million in a billing dispute, here are eight lawsuits and settlements involving payers Becker's has…
The 69th Fortune 500 was released June 5. Five payers were included in the top 25 on the annual list of the largest corporations in the U.S. ranked by revenue for the 2022 fiscal year.
A court blocked a challenge from a nonprofit and a nurses union seeking to prevent Horizon Blue Cross Blue Shield from reorganizing as a nonprofit mutual holding company, nj.com reported June 1.