Payer

AmeriHealth Caritas' ACA marketplace business is expanding into three new states in 2023. 

More than half of states have expanded postpartum Medicaid and Children's Health Insurance Program coverage to 12 months, with Georgia and Pennsylvania becoming the 25th and 26th states, respectively, to do so. 

Molina Healthcare acquired several Medicaid contracts during the third quarter of 2022, which will have a "profound impact" on the company over the next few years, Molina President and CEO Joseph Zubretsky said during the company's Oct. 27 earnings call.  

UnitedHealthcare is expanding its individual and family plans on the ACA marketplaces to a total of 22 states for 2023.

More payers are adding value-based kidney care partnerships and initiatives to address the needs of the nearly 40 million people in the U.S living with kidney disease. 

Forty-one percent of small business owners said the rising cost of health insurance has caused them to increase prices of goods and services, according to a survey from Small Business for America's Future.  

Many state Medicaid offices have declined to pay for remote patient monitoring programs despite being touted by successive White House administrations as a way to improve health and reduce unnecessary government spending, Politico reported Oct. 26.  

With average Medicare Advantage star ratings seeing a decline nationwide, payers like Centene are facing lower revenues in 2024 after missing out on federal bonuses tied to the quality ratings. 

UnitedHealth Group's OptumRx arm is denying it agreed to pay $15 million to settle overcharging allegations, the Ohio Capital Journal reported Oct. 27. 

Average premiums for employer-sponsored health insurance stayed largely stable this year, but that could change soon, according to the annual Employer Health Benefit Survey from Kaiser Family Foundation.