Payer

The California Department of Insurance warned payers June 1 that arbitrarily refusing to cover treatment and limiting coverage for sexually transmitted infection screening to one per year is illegal.

Myrtle Beach, S.C.-based payer Choice Health recently shared that sensitive member health information was obtained by an unauthorized individual, HIPAA Journal reported June 15.

A "Medicare-for-All" healthcare system would have saved hundreds of billions of dollars and hundreds of thousands of lives during the COVID-19 pandemic, according to a study published June 13 in the Proceedings of the National Academy of Sciences.

J.D. Power published the results of its "2022 U.S. Vision Plan Satisfaction Study" on June 14 and found Aetna Vision has the most-satisfied members of any vision plan in the nation.

Florida has seen a growing number of complaints in the last three months about Medicaid managed long-term care companies, Florida Politics reported June 15.

Payers are lagging behind other industries that use technology to offer seamless digital experiences to customers, and it's costing them money and members, according to a new study from Forrester and Smart Communications.

The Federal Trade Commission has begun an investigation into San Francisco-based Cerebral, The Wall Street Journal reported June 15.

Jared Lorinsky is chief strategy officer at Burlington, Mass.-based HealthEdge. He's been working in the payer reimbursement and payment integrity sphere for around two decades and sat down with Becker's to discuss how payers can use new technology and innovations…

New Mexico medical cannabis company Top Organics-Ultra Health and six medical patients have filed a proposed class action against seven payers they say should be covering medical cannabis costs as a behavioral health service.

A new observational study has linked high-deductible health plans with delays in the detection of metastatic cancer, according to Healio.