Payer

After losing out on California Medicaid contracts, Blue Shield of California is slamming its rivals and state leaders and launching a marketing campaign asking the public to weigh in on the state's decision. 

Three payer CEOs were named to Fortune's 2022 "50 Most Powerful Women" list released Oct. 4. 

Blue Cross Blue Shield of Michigan is facing a revived antitrust lawsuit from the Anesthesia Associates of Ann Arbor over an alleged decadeslong scheme to control the state's anesthesia market.

With the Medicare annual enrollment period set to begin Oct. 15, payers nationwide are greatly expanding their Medicare Advantage plans to new states and hundreds of new counties in 2023.

Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the…

Several healthcare payers have joined hurricane relief efforts, pledging philanthropic support to Florida communities recovering from Hurricane Ian. 

Providers, nursing home representatives and advocates for patients say Medicare Advantage plans are sending enrollees home from skilled nursing and rehabilitation centers before they are healthy enough to leave, according to an Oct. 3 Kaiser Health News and Fortune report. 

Moda Health, a Portland, Ore.-based insurer with 400,000 members, is offering plans in Idaho for 2023, the company said Oct. 3. 

The New York Medicaid Inspector General's Office recovered and saved a combined $3.2 billion in 2021, up from $3 billion in 2020, according to the office's 2021 report.  

Enrollment in employer-sponsored health insurance declined during the COVID-19 pandemic, disproportionately affecting women and employees of small businesses, a new study published in JAMA Network Open found.