Payer

Inadequate insurance coverage is one of the main causes of medical debt, American Hospital Association leaders say. 

California lawmakers are mulling a proposal that would give Gov. Gavin Newsom a deadline for implementing a single payer healthcare system in the state, the San Francisco Chronicle reported March 21. 

Medicare Advantage and Medicare supplement enrollees both reported high levels of satisfaction with their coverage, according to a survey from eHealth. 

Pittsburgh-based Highmark Health posted an operating income of $440 million on revenues of $26 billion for fiscal year 2022, but investment slumps resulted in a net loss of $346 million for the year. Excluding investment losses, the company reported net…

A significant data breach of Washington, D.C.'s ACA marketplace in early March has exposed the personal information of at least 17 current or former members of Congress, CBS News reported March 21.

While state approaches to Medicaid redeterminations can vary widely, most states are adopting a few key strategies to promote continuity of coverage, according to a report from Kaiser Family Foundation. 

Geisinger Health Plan received $6.5 million in Medicare Advantage overpayments in 2016 and 2017, according to an audit from HHS' Office of the Inspector General. 

A startup integrating Western medicine and Eastern wellness benefits in Medicare Advantage clinched $41 million in a funding round led by Google Ventures. 

Medicare Advantage plans should be aware of fraudsters turning their efforts to private plans, HHS' Inspector General Christi Grimm said. 

Humana's longest-serving director, David Jones Jr., is planning to retire after 30 years on the company's board, WDRB reported March 20.