Payer

The National Committee for Quality Assurance has named the top-performing health plans of 2022 based on factors that include care quality, patient satisfaction and efforts to keep improving.

Centene will pay Texas $165.6 million to settle the state's investigation into if the payer violated Medicaid fraud laws, the Texas Attorney General's Office said Sept. 19. 

Only one of the eight payers operating in Colorado's new state-sponsored plan will meet state benchmarks to reduce premiums by 5 percent this year, according to a report from the Colorado Consumer Health Initiative. 

Medicare Advantage and traditional Medicare plans have similar rates of satisfaction with care and overall care coordination among beneficiaries, a review, published Sept. 16, of 62 studies comparing the plans found.

From a partnership with Walmart to defeating lawsuits, here are seven headlines about UnitedHealth Group that Becker's has covered since Sept. 6: 

In the wake of severe flooding and tornadoes that damaged communities in rural Kentucky in July, Humana Foundation CEO Tiffany Benjamin says future investments in rural areas can help bolster health equity before natural disasters strike again. 

Employers expect the costs of providing health insurance to their employees to rise, a survey from Willis Towers Watson found.

Cigna has joined other payers in covering a noninvasive neurostimulation device from BrainsWay that treats obsessive-compulsive disorder.

Here are what leaders of five organizations said following the House of Representatives' unanimous passage Sept. 14 of a bill to reform the Medicare Advantage prior authorization process. 

It’s a familiar pattern with payers, the provider wins a front-line appeal, then a myriad of payer reviews occur and result in more denials.