Payer

From payers diving deeper in social determinants of health to expanded payer-provider models, these are six payer partnerships reported by Becker's since Dec. 15:

A plan to shift New York City retirees' coverage to Medicare Advantage has stalled indefinitely, the New York Daily News reported Jan. 19. 

The overall insured rate in the U.S. rose between 2019 and 2021, with some states outpacing the national average growth in the insured rate of .7 percent, according HHS data. 

Cigna's pharmacy benefit manager Express Scripts' St. Louis (Mo.) County headquarters has been sold for $36 million just as the company renewed its lease, the St. Louis Business Journal reported Jan. 18. 

CenterWell, Humana's primary care organization, is opening three new clinics in Charlotte, N.C., focused on care for older adults. 

Integrating medical, pharmacy and behavioral benefits led to savings for employers, a study from Cigna found. 

While increased utilization and labor costs will be short-term challenges for payers, profits will continue to grow through 2026, according to an analysis from McKinsey published Jan. 9. 

Behavioral health management companies New Directions Behavioral Health and Tridium are combining under the name Lucet to offer a care navigation system for payers. 

Half of patients with high-deductible health plans said they have received a surprise medical bill, according to a survey from Akasa, a revenue cycle firm that uses artificial intelligence.

Around 35,000 people have signed up for Colorado's public option, representing around 13 percent of the total ACA exchange enrollment in the state.