Payer

Provider payment is increasingly moving toward value-based reimbursement, for both public and private payers. Yet some providers remain leery about how it works, what it means for their organizations and what various options are.

UnitedHealthcare is expanding its partnership with fitness club brand Life Time, offering access to Life Time's 160 clubs to millions of Medicare Advantage members. 

The American Medical Association is calling for the federal government to create a federal database of physicians participating in Medicare Advantage plans. 

UnitedHealthcare will administer AARP's Hearing Solutions, which provides affordable hearing aids to members of the association. 

South Dakota voters recently passed Medicaid expansion with about 56 percent of the vote, encouraging advocates in Florida that the same path to expansion may be viable in the Sunshine State, the Tampa Bay Times reported Nov. 15. 

Improving data is key to improving health equity, LaShawn McIver, MD, director of the CMS Office of Minority Health, wrote in a Nov. 10 blog post. 

Unclear regulations and a lack of experience managing risk for dual-eligible populations are holding payers back from developing plans for individuals eligible for both Medicare and Medicaid, executives for Belong Health write in an opinion for Health Affairs published Nov.…

Cigna CEO David Cordani told Fortune's "Leadership Next" podcast employers now have employee well-being and mental health "front and center." 

Anthem Blue Cross originally denied a member's appeal of a $40,000 bill for a tumor removal surgery — but the payer reversed course when the patient took to TikTok to dispute the bill, CBS Chicago reported Nov. 14.

Humana is the best employer for veterans among large insurers, according to the Military Times' "Best for Vets: Employer Survey."