Payer

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.

A settlement to prevent North Carolina Medicaid beneficiaries from being unfairly disenrolled could be a roadmap for other states as they brace for mass Medicaid disenrollments in 2023, NC Health News reported Dec. 21. 

Blue Cross and Blue Shield of Vermont will not enter a contract with OneCare Vermont in 2023, citing a lack of desired quality and cost outcomes, along with a new data strategy "that introduces concerns about security and privacy."

The cost of individual health insurance premiums is on the rise for 2023. A 40-year-old enrolling in a silver ACA Exchange plan will pay, on average, 4 percent more per month in 2023 than in 2022, according to a Dec. 14…

The American Medical Association Dec. 20 outlined how advocates in Michigan were able to successfully lobby state lawmakers to pass prior authorization reform legislation.  

Fitch Ratings is expecting U.S. health insurers to weather the effects of high inflation and rising interest rates amid its expectation of a mild recession in 2023.

As the year draws to a close, lawmakers and advocates are discussing ways to improve Medicare Advantage in the future and tackling issues around prior authorization and marketing. 

COVID-19 testing drove a 17 percent increase in Medicare spending for lab tests in 2021, according to the HHS inspector general's office.