Payer

From another round of layoffs to a potential delisting from the New York Stock Exchange, Bright Health has continued to face challenges this year. 

Georgia's Medicaid work requirement program is set to begin July 1, 2023, making it the only state with such requirements, Capital Beat News Service reported Dec. 23. 

The average uninsurance rate for women aged 19-64 in the U.S. was 11 percent in 2021, according to a Dec. 21 report from the Kaiser Family Foundation. Here are the states ranked by women's uninsurance rate, from highest to lowest: 

BCBS North Carolina has the best IT department to work for in 2023, according to Computerworld.

A federal judge in Washington state ruled Dec. 19 that Blue Cross Blue Shield of Illinois discriminated against transgender individuals by denying coverage for medically necessary gender-affirming care in its administration of employer-provided ERISA health plans.

A lawsuit from a pension fund holding Centene stock accused former executives of conspiring to defraud state Medicaid programs, the St. Louis Business Journal reported Dec. 21. 

From a proposed CMS rule to streamline the process to states passing reforms, here are eight updates on prior authorization that Becker's has reported in 2022: 

Becker's compiled some of the most-read payer stories of 2022. While half were about new federal policies, the others centered around mergers and disruptors within the industry.

Premiums for individual health insurance are set to rise in 2023, according to a Dec. 14 report from ValuePenguin. The financial analysis site found a 40-year-old enrolling in a silver ACA Exchange plan can expect to pay 4 percent more…

The National Association of Medicaid Directors is supporting Congress' proposal to allow states to begin reevaluating Medicaid eligibility in April 2023.