Payer

Priority Health, the insurance arm of Grand Rapids, Mich.-based Corewell Health, is focused on long-term Medicare Advantage sustainability as the industry navigates rising costs and utilization. Becker’s connected with Interim President Nick Gates about how the insurer continues to integrate…

UnitedHealth Group’s board of directors authorized a $2.21 per-share cash dividend to be paid Sept. 23.  The dividend will be paid to all shareholders of record as of the close of business Sept. 15, according to an Aug. 23 UnitedHealth…

Effectuated ACA enrollment has increased 13% since 2024 and nearly 93% of enrollees qualify for enhanced premium tax credits, according to an August report from CMS. Six notes:

Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites.  1. Akron (Ohio) Children‘s Hospital seeks a director of reimbursement and payer analysis.  2.…

Nearly 6,500 providers have opted out of a $2.8 billion antitrust settlement agreement with the Blue Cross Blue Shield Association, including hospitals owned by some of the largest health systems in the U.S. In October, the Blue Cross Blue Shield…

Two health insurance brokers agreed to pay a combined $145 million to resolve allegations from the Federal Trade Commission that they misled millions of consumers seeking to buy comprehensive health insurance.  Assurance IQ will pay $100 million to settle allegations…

Blue Cross and Blue Shield of Louisiana is laying off an unspecified number of employees, CBS affiliate WAFB reported Aug. 7.  A company spokesperson told Becker’s in a statement that Louisiana Blue is navigating current industry challenges driven by rising…

As major insurers pull back on their Medicare Advantage offerings, health system-owned plans told Becker’s they’re eyeing an opportunity to regain ground ahead of the annual enrollment season. “We’re hopeful that CMS and the current administration are really going to…

CMS has lifted an enrollment sanction imposed on PACE Partners of Northeast Florida, effective Aug. 6.  The enrollment suspension came after more than a year of regulatory action following compliance deficiencies identified during audits conducted in 2021, 2022 and 2023.…

U.S. Senators Elizabeth Warren, D-Mass., and Ron Wyden, D-Ore., are pressing UnitedHealth Group for details of a program that allegedly incentivized nursing homes to avert medically necessary hospital transfers for their residents.  The Aug. 6 letter to UnitedHealth Group CEO…