Payer

Experts and advocates say Medicare is not adequately covering substance abuse treatment for older adults, Roll Call reported Nov. 30. 

Humana is projecting at least 100,000 more Medicare Advantage members in 2023 than it originally predicted. 

A three-judge arbitration panel in Florida ruled that UnitedHealthcare must award $10.8 million to a TeamHealth clinician group for underpayments from 2017 to 2020. 

Highmark Health's strong performance in its insurance division this year has offset losses reported Nov. 30 by the healthcare delivery side of its business.

Medicaid policy experts think North Carolina could be the next state to expand Medicaid, Politico reported Nov. 30. 

From striking a deal to sell Magellan Specialty Health to allegedly delivering "unacceptable" performance for its Medicaid managed care contract for Illinois foster youths, here are nine stories about Centene that Becker's has covered since Oct. 31.     

Some payers are exiting markets because of economic challenges, while others have been asked to leave by regulators. Here are 11 market exits taking effect in 2023. 

Blue Cross Blue Shield of Massachusetts is expanding its mental healthcare options in response to in-person and virtual visits for those services doubling since 2019. 

Around 5,700 people have signed up for a Colorado pilot program to extend health insurance to undocumented residents, The Denver Post reported Nov. 30. 

Lapses in insurance coverage were associated with a higher mortality risk for both publicly and privately insured adults, a study published Nov. 23 in JAMA Health Forum found.