Payer Archives - Page 357 of 1123 - Becker's Payer Issues

Centene in the headlines: 8 recent stories

From a report revealing that Centene quietly bought the St. Louis Ritz-Carlton in 2018, to the completed sale of Pantherx, here are eight news items about Centene published by Becker's since June 10.

Point32Health adds travel benefit for member and employee access to reproductive, gender-affirming care

Point32Health and its companies, including Harvard Pilgrim Health Care and Tufts Health Plan, have added a travel benefit for members and employees to support access to reproductive and gender-affirming care for individuals that live in states where those services are…

Q&A: Payer veteran Eric Galvin on value-based payments and SDOH for in-home care

After a pandemic exposed inefficiencies the healthcare system has faced for decades, the trend toward value-based payment models for in-home care and accounting for social determinants of health is more important than ever, according to Eric Galvin.

Suburban Chicago physician charged with defrauding BCBS Illinois, Medicare for over $4M

A suburban Chicago physician is facing up to 10 years in federal prison after being charged July 12 with one count of healthcare fraud against Blue Cross Blue Shield of Illinois and Medicare.

Cleveland Clinic helps family appeal to New York state after Empire BCBS denies multi-organ transplant

Cleveland Clinic is working to get New York state to conduct an independent external review of a Bronx man's rare cancer diagnosis and recommended multi-organ transplant after Empire Blue Cross Blue Shield denied coverage, WPIX reported July 12.

WVU Medicine's new health plan is preparing Medicare Advantage, Medicaid policies

West Virginia University Medicine's new Peak Health plan will become a Medicare Advantage and Medicaid managed care provider in the state, MetroNews reported July 12.

Cigna delays new paperwork demand criticized by physician group

Cigna is delaying and reevaluating a new paperwork demand that was set to go into effect Aug. 13 after receiving pushback from the California Medical Association and American Medical Association.

Humana becomes Pennsylvania ACO partner

Humana is becoming an equity partner of Villanova, Pa.-based Delaware Valley Accountable Care Organization.

Florida puts $3.1B state employee health plan up for bid

Florida's Department of Management Services is now accepting bids from payers to manage its $3.12 billion state employee health plan that covers about 170,000 people, according to Florida Politics.

Turquoise Health, Komodo Health partner to 'democratize access' to price transparency data

San Diego-based Turquoise Health and San Francisco-based Komodo Health are partnering to create a platform that will allow patients to understand the full cost of healthcare services and help streamline payer-provider contracts.