Payer

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. 

Increased utilization rates for medical services and an easing hospital labor shortage could mean smaller profit margins for payers, The Wall Street Journal reported Nov. 29. 

Pittsburgh-based Allegheny Health Network has received $1.3 billion from payer Highmark Inc. since 2018, the Pittsburgh Post-Gazette reported Nov. 30. 

Payers are swapping pharmaceutical benefit managers, adding partnerships with Amazon and looking at billionaire investor Mark Cuban's new approach to dispensing drugs. 

After a year-long dispute with Blue Cross Blue Shield of Illinois, Springfield Clinic is rolling out its own health plan, the State Journal-Register reported Nov. 29. 

AHIP is pushing back on claims that Medicare Advantage plans are overcharging the government. 

A study from a Trinity College economist found that 60 percent of rates negotiated by health insurers were higher than self-pay cash rates for the same services. 

UnitedHealth Group expects 2023 revenues to be at least $357 billion.