Payer

Humana's philanthropic foundation announced grant recipients and a new advisory council as part of a new health equity strategy. 

Centene continues to lead the industry in Medicaid managed care contracts, while Humana said it plans to pick up more state contracts this year. 

Oscar Health will provide administrative services to Miami-based Associated Medical Care, the first partnership for the company's +Oscar Campaign Builder tool.  

Employer-sponsored plans pay much higher rates for physician-administered drugs than Medicare, a research letter published Feb. 10 in JAMA Health Forum found. 

The Pennsylvania Insurance Department fined Highmark Inc. $205,000 for violations including incorrectly denied claims, untimely payments and violations of mental health parity requirements. 

The reason for most in-network claim denials in ACA plans is not reported in price data, according to an analysis from Kaiser Family Foundation. 

The nation's largest payers have filed their fourth quarter earnings reports, revealing which have the most U.S. commercial members.Commercial includes fully- and self-insured members

UnitedHealthcare has the most Medicare Advantage members among large payers, while MA makes up a relatively small slice of Cigna's business. 

Oscar Health reported major gains in total membership but posted a net loss of $606 million in 2022, according to the company's fourth quarter earnings published Feb. 9.

From bills introduced in North Carolina and Kansas, to another dying on the Wyoming House floor, here are five recent updates on state Medicaid expansion efforts: