Six individuals are suing Centene and its subsidiary Celtic Insurance for allegedly failing to pay for covered services and selling health plans on ACA marketplaces that have inaccurate provider networks, The Chicago Tribune reported Aug. 8.
Payer
The nation's largest payers have filed their second-quarter earnings reports, revealing which saw the biggest net incomes in the first six months of the year.
Nonprofit Medicare Advantage insurer Senior Care Action Network Health Plan is planning to expand into two Texas counties next year, pending regulatory approval from CMS.
Payers nationwide are rapidly growing their behavioral health provider networks by actively recruiting, increasing payments and training primary care physicians to care for more behavioral health conditions, according to a new survey from AHIP.
The nation's largest payers have filed their second-quarter earnings reports, revealing which grew their revenues the most year over year.
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Illinois is increasing Medicaid reimbursement rates for abortion providers by 20 percent, CBS Chicago reported Aug. 4.
Aetna is entering the ACA individual insurance marketplace in seven California counties for 2023.
An estimated 3.7 million people would gain health coverage if the 12 states that have not expanded Medicaid eligibility did so in 2023, according to an Aug. 3 report from the Urban Institute and the Robert Wood Johnson Foundation.
As payers increasingly look to meet their members where they are, digital solutions, platforms and benefits have become a widespread expectation from consumers and employers.
Insurance giant Nationwide is partnering with supplemental insurance providers Brella and AccuRisk Solutions to offer its own supplemental health plan.