Payer

Aetna is leveraging its parent company's retail stores to let Medicaid members know they may need to renew their coverage. 

More employers are offering Medicare Advantage benefits to their retired employees, but some retirees have concerns about prior authorization and costs, The New York Times reported March 10. 

Though states and Medicaid managed care plans are ramping up campaigns to let their members know about upcoming redeterminations, most participants in a focus group conducted by Kaiser Family Foundation said they had not been asked to update their contact…

Fraudsters with fake medical equipment companies and other fronts are scamming Medicare and Medicaid out of billions each year, CNBC reported March 9. 

Blue Cross Blue Shield of Illinois was fined $605,000 by the Illinois Department of Insurance for violating network transparency laws. 

Many Americans would skip preventive care if courts dismantle the requirement for payers to cover preventive care with no cost sharing, a survey by Morning Consult found. 

HHS Secretary Xavier Becerra urged states to ensure that they are implementing "every possible option to prevent eligible individuals" from losing Medicaid coverage during the redetermination process, CNN reported March 9. 

As hospitals evolve into integrated systems, Centivo is designing networks to evolve with them. 

A significant data breach of Washington, D.C.'s ACA marketplace potentially exposed personal identifiable information of hundreds of congressional lawmakers and staff, NBC News reported March 8. 

CareOregon will convert a hotel in Seaside, Ore., into housing for healthcare workers and for CareOregon members with behavioral health needs.