Payer

Aetna Health of California beat a lab's proposed class-action lawsuit alleging that the payer evaded its obligations to fully cover COVID-19 diagnostic testing, but the lab will have another chance to bring claims under federal benefits and racketeering laws, Bloomberg…

Highmark Senior Health Plan received an estimated $6.2 million in overpayments from CMS for Medicare Advantage beneficiaries, according to an audit by the HHS Office of Inspector General. 

L.A. Care, a publicly operated health plan in Los Angeles County, will offer a new Medicare Plus plan for dual-eligible beneficiaries, the insurer said Oct. 4. 

Centene shareholders approved changes in the company's bylaws, including ending the terms of all current board members at the 2023 annual meeting, according to Securities and Exchange Commission filings.

After losing out on California Medicaid contracts, Blue Shield of California is slamming its rivals and state leaders and launching a marketing campaign asking the public to weigh in on the state's decision. 

Three payer CEOs were named to Fortune's 2022 "50 Most Powerful Women" list released Oct. 4. 

Blue Cross Blue Shield of Michigan is facing a revived antitrust lawsuit from the Anesthesia Associates of Ann Arbor over an alleged decadeslong scheme to control the state's anesthesia market.

With the Medicare annual enrollment period set to begin Oct. 15, payers nationwide are greatly expanding their Medicare Advantage plans to new states and hundreds of new counties in 2023.

Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the…

Several healthcare payers have joined hurricane relief efforts, pledging philanthropic support to Florida communities recovering from Hurricane Ian.