Payer

About 11.5 million people have enrolled in ACA marketplace plans as of Dec. 15, according to CMS. 

Colorado, Nevada and Washington have passed public health insurance options, but they are not yet working out as hoped, Politico reported Dec. 27. Here are some of the obstacles the plans face:

From a lawsuit alleging former Centene execs defrauded state Medicaid programs to a lawsuit seeking to stop Horizon Blue Cross Blue Shield's reorganization, here are eight recent legal actions involving payers Becker's has reported since Nov. 17: 

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: