Payer

Patina Health, a startup providing in-home care for older adults, is expanding to Aetna, UnitedHealth and Cigna Medicare Advantage members, The Philadelphia Inquirer reported Dec. 19. 

UnitedHealth Group, CVS Health, Elevance Health and Cigna have been named world leaders for corporate sustainability on the 2022 Dow Jones Sustainability Indices.

Centene has paid at least $307.5 million in 2022 to settle allegations it overbilled state Medicaid programs for pharmacy services. 

By 2025, it’s been estimated that healthcare data will represent 36% of the world’s data volume.

Better Medicare Alliance, a pro-Medicare Advantage advocacy group, wants more frequent audits and more robust criteria for in-home health risk assessments for beneficiaries. 

A value-based care agreement with Minnesota Oncology has resulted in big savings for members, Blue Cross and Blue Shield of Minnesota said Dec. 16. 

Two states have youth uninsured rates above 10 percent (Texas and Wyoming), while two states have rates below 2 percent (Vermont and Massachusetts), according to 2021 U.S. Census data.

Centene is expecting to see total revenues between $137.4 billion and $139.4 billion in 2023, down from the $142.7 billion to $144.7 billion it is projecting for this year.  

A majority of Americans don't like to go through their health plan to find care, but there are key changes payers can enact to build more trust with members, according to a new survey released Dec. 13 by Ribbon Health,…

A group of 27 payers said they will update provider directories to include CMS' birthing friendly hospital designations, and Blue Cross Blue Shield Association said it will add health equity criteria to its maternal care ratings.