Payer

The HHS' Inspector General's Office released audits of nine Medicare Advantage plans over the last six months, according to the organization's semiannual report to Congress, published Dec. 5. 

Alabama Medicaid reached an agreement with the Justice Department to end a longstanding policy that denied coverage of hepatitis C medication for those who consumed alcohol or drugs within six months of starting treatment or while using the medication.  

Centene's philanthropic arm and the company's Texas subsidiary, Superior HealthPlan, donated $7.9 million to a new community center in Uvalde, Texas. 

Payers continue to rapidly expand their mental and behavioral care provider networks nationwide in an effort to meet the rising demand from members.

The healthcare sector often struggles with consumer engagement.

UnitedHealth Group expects Optum to see a long-term double-digit revenue growth rate and bring in a range between $212 billion to $214 billion in 2023 revenues.

Accountable care organization savings vary widely, from under 1 percent in some studies, to 6 percent for high performing organizations, according to a report from Health Affairs. 

The American Medical Association and seven other physician groups filed an amicus brief supporting the ACA's preventive care requirements in a case in Texas court challenging the law. 

The Senate Finance Committee wants Medicare Advantage plans to create more accurate provider directories. 

Insurance brokers allege Colorado officials are unfairly promoting the state's new Colorado Option plans, suggesting them to Bright Health and Oscar Health members who need to find a new plan, The Colorado Sun reported Dec. 2.