Payer

Health insurer Sana is entering Wisconsin's small business market. 

Overall member satisfaction with Medicare Advantage plans has risen steadily over the past few years, but most members say their plan doesn't provide enough coverage for mental and behavioral services, according to J.D. Power's 2022 U.S. Medicare Advantage study published…

U.S. employers' healthcare expenditures are expected to rise by an average of 6.5 percent, or $13,800 per employee, in 2023, financial services firm Aon said Aug. 18.

Healthcare providers in New York want more due process protections when they are audited by the state's Office of the Medicaid Inspector General, Spectrum News 1 reported Aug. 18. 

A group of transgender-rights organizations is preparing to file a federal lawsuit seeking to halt Florida's Medicaid regulator from banning coverage of gender-affirming care, Politico reported Aug. 17. 

A collection of healthcare companies joined forces in May to form a unique value-based senior care and payment model that aims to drive down costs, improve health outcomes and ultimately, keep patients out of the hospital.

In a Wall Street Journal ad published Aug. 16, the American Hospital Association urged commercial health insurers to end four policies that it says hurt patients, contribute to clinician burnout and raise care costs.

The California Department of Insurance settled with National Health Insurance Co. Aug. 16 for $1.995 million after the payer unlawfully failed to post its formulary online, sold drugs at incorrect prices and denied necessary care and coverage information to members.

Eleven officials make up Cigna's executive leadership team, according to its website. 

Ten providers — including Northwestern Medicine and Community Health System — recently posted job listings seeking leaders in payer contracting and relations.