Payer

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…

Aetna is expanding eligibility for its Resources for Living program, which connects members to community resources, to support members affected by Hurricane Ian. 

Western Sky Community Care is launching a virtual doula network for Medicaid members in New Mexico, the Centene subsidiary said Sept. 27. 

Nearly half of Medicaid managed care plans' medical loss ratio reports submitted to states were incomplete, according to a report from the HHS inspector general's office.

Payers and their venture arms have spent 2022 investing in a variety of new healthcare companies, including digital insurance marketplaces and behavioral health providers.

GoHealth, a health insurance marketplace and Medicare-focused digital health company, has closed a $50 million private investment round that included the backing of Elevance Health.

The five states where residents currently see the cheapest cost of care on average are Kentucky, Arkansas, Maryland, Alabama and Tennessee, according to data from the Missouri Economic Research and Information Center.

The Comprehensive Primary Care Plus Program did not result in improvements in costs or quality for private insurers, a study published in the September issue of Health Affairs found. 

CMS is seeking feedback on a policy that requires state Medicaid agencies to keep beneficiaries enrolled through the end of the public health emergency for the COVID-19 pandemic, according to a Sept. 23 memo. 

Twelve Massachusetts health systems are receiving Blue Cross Blue Shield of Massachusetts-funded grants for projects to improve equity of care and race, ethnicity and language data collection practices.