Payer

Facing declining enrollment, Inter Valley Health Plan will cease operations at the end of 2022, the Daily Bulletin reported Nov. 7. 

Humana priced a public offering of $1.25 billion in senior notes, the payer said Nov. 7. 

Medicare's bundled payments program did not lead to negative clinical outcomes, or change who hospitals selected as patients, a study published in the November issue of Health Affairs found. 

UnitedHealthcare holds the largest share of the Medicare Advantage market in the U.S., with 28 percent of the market. 

From its Express Scripts business winning Centene's pharmacy benefit contract to facing a Justice Department lawsuit, here are nine stories about Cigna that Becker's has reported since Oct. 17: 

Just over half of Medicaid managed-care plans have health equity strategies for specific populations of members, and around 4 in 10 have health equity plans for all of their members, a survey from the Institute for Medicaid Innovation found. 

Pennsylvania Gov. Tom Wolf on Nov. 3 signed a bill aiming to streamline the prior authorization process. 

AHIP is pushing back on claims that Medicare Advantage markets are uncompetitive, calling a recent report from the American Medical Association "simply false and wrong." 

Friday Health Plans will not offer coverage on the ACA marketplaces in Texas and New Mexico for 2023, The Alamosa Valley Courier reported Nov. 4.

Medicare Advantage open enrollment is underway, and payers are expecting to see even more older adults choose the plans over traditional Medicare.