Payer

Most commercial and Medicare Advantage markets are highly concentrated, with one payer controlling a large share of the market in local areas, a new report from the American Medical Association found. 

Essence Healthcare, Lumeris' Medicare Advantage plan, will be available in five new states in 2023, a 223 percent increase in counties covered. 

Nearly half of 18- to 34-year-olds say they are looking for a new job within the next year, a survey from Cigna found. 

Blue Cross Blue Shield of Massachusetts is adding several new offerings, including a pharmacy benefits partnership with CVS Caremark. 

Ten providers — including Columbia University Medical Center and Nicklaus Children's Hospital — recently posted job listings seeking leaders in payer contracting and relations.

Mississippi is the latest state to take action against Salvasen Health for marketing and selling health insurance plans without a license.

Payers spent $80.6 million on lobbying in 2020, a study published in JAMA Health Forum found. 

The nation's 10th annual open enrollment period to sign up for Affordable Care Act health insurance coverage is open from Nov. 1 through Jan. 15, and this year it includes several changes around access and affordability.

From BrightHealthcare and Friday Health Plans leaving major ACA markets to more than a dozen Medicare Advantage expansions, these are 26 recent payer moves to exit or enter markets:

A majority of Medicare beneficiaries have had the same plan for at least three years and 36 percent don't know the annual enrollment period is currently underway, according to a new survey from online insurance marketplace eHealth.