Payer

Providers are concerned that California's value-based Medicaid reforms are not reaching the patients who need help most, according to a Kaiser Health News report published Oct. 10 in The Los Angeles Times.

Blue Shield of California filed a lawsuit alleging that California violated public records laws by not releasing documents related to the state's Medicaid contract awards, the insurer said Oct. 7. 

From international growth to rebranding, here are 10 stories about the Bloomfield, Conn.- based insurer Becker's has reported since Sept. 7. 

Experts predicted a decline in CMS Medicare Advantage ratings because of methodology changes and the end of relaxed standards to account for pandemic tumult. 

CMS released its 2023 Medicare Advantage plan ratings Oct. 6. This year, 57 Medicare Advantage Part D plans earned five star designation, a decline from 2022, when 74 plans earned the designation. 

Clover Health has unveiled a new program aiming to drive quality health outcomes by incenticing members to complete predetermined tasks.

Payers are going to raise premiums across the board because of growing cost pressures on providers such as inflation and workforce disruptions, according to a new brief from Fitch Ratings.

From its CEO being named to Fortune's "50 Most Powerful Women" list, to a judge ruling it must face a lawsuit over alleged overpayments, here are seven recent stories Becker's has covered about Elevance Health:

Minnesota has awarded contracts to nine payers to manage the state's Medicaid program, the state's human services department said Oct. 5. 

Humana is expanding its Medicare Advantage plans to Rhode Island, offering plans for 2023 in Bristol, Kent and Newport counties, the insurer said Oct. 5.