Payer

Though Medicare Advantage was designed to help lower federal healthcare expenditures, recent reporting from The New York Times has thrust allegations of payers defrauding the government through the program back into the limelight.

Hospitals are growing increasingly frustrated with payers, a survey from the American Hospital Association found. 

UnitedHealthcare has the largest share of the nation's Medicare Advantage market, according to a study from the American Medical Association. 

Health insurer Highmark Inc. and associated healthcare system Allegheny Health Network, based in Pittsburgh, will be the first to launch a payer-provider patient billing platform from healthcare billing company Cedar.

Amerigroup Texas is partnering with Movito, a healthcare technology developer, to increase the number of mental health therapists in rural, remote and underserved areas. 

Humana reported $1.2 billion in profits during the third quarter and is expecting major increases in Medicare Advantage membership, according to the company's Nov. 2 earnings report.

More than 650 ACA and Medicare call center workers went on strike on the first day of the ACA open enrollment period, Nov. 1, over pay and working conditions.

CVS Health raised its annual earnings outlook after beating investor expectations in the third quarter, but the company reported $3.4 billion in losses after agreeing to pay into a global opioid lawsuit settlement starting next year.

The New Jersey Department of Banking and Insurance has approved Horizon Blue Cross Blue Shield of New Jersey's application to reorganize its corporate structure as a nonprofit mutual holding company. 

CMS has approved an Arkansas Medicaid waiver that will test interventions to address housing, food insecurity and other health-related social needs.