Though providers have been largely critical of payers for what they say are slow or ineffective prior authorization reforms, these are five innovative systems introduced by payers this year:
Payer
UnitedHealth Group's philanthropic foundation is committing $3 million over the next three years to help nonprofit Active Minds launch a pilot program to better serve youth mental health at the middle school level.
Two U.S. representatives have introduced a bill that would rename Medicare Advantage plans, prohibit private insurers from using "Medicare" in plan titles or advertisements and impose "significant fines for any insurer that engages in this deceptive practice."
Some U.S. employers are looking at alternative ways to provide healthcare benefits to their retirees who are not eligible for Medicare, according to an Oct. 11 survey from Willis Towers Watson.
Most state and city-level drug markets are highly-concentrated, with one pharmacy benefit manager controlling a large share of the market, a new report from the American Medical Association found.
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Aetna is launching a new plan in the Atlanta area integrating more benefits from parent company CVS Health, Aetna said Oct. 13.
Florida can continue to bar the state's Medicaid program from reimbursing patients for most forms of gender-affirming care, Politico reported Oct. 12.
A Colorado health insurance purchasing alliance will not be able to offer plans in 2023 after Bright Health said it is ending its individual and group insurance business, the Colorado Sun reported Oct. 12.
From co-owned health plans between insurers and providers to major investments in telehealth, these are 12 payer partnerships reported by Becker's since Sept. 27:
Optum Labs, the R&D arm of UnitedHealth Group, is partnering with researchers in UCLA's computational medicine department to study how artificial intelligence and machine learning can be used to personalize treatments and improve care costs and quality.