Payer

The U.S. House Ways & Means Committee advanced a bill to reform the Medicare Advantage prior authorization process. 

As a part of its $1 billion value creation initiative, Humana said during its July 27 second-quarter earnings call that the company will restructure into two separate units and reorganize the executives leading them.

Since July 1, payers across the country have been required to publish the price of nearly every service they have negotiated with providers. In that time, companies have raced to extract and analyze that data in a way that is…

Health insurers are now publishing the cost of nearly every healthcare service they've negotiated with providers, but that data is "just not accessible to mere mortals," Georgetown University researcher Sabrina Corlette told Kaiser Health News in a July 27 article. …

There are major flaws and missed opportunities in CMS' new rules for Medicare Advantage and Part D third-party marketing organizations, according to an op-ed published July 25 in Newsweek by Justin Brock.

Forbes has named 14 payers on its 2022 list of the nation's 400 best employers for women.

Five officials make up Molina Healthcare's executive leadership team, according to the Long Beach, Calif.-based payer's website.

The average health insurance bill will rise 21 percent next year and 5.1 million people will lose health coverage if Congress does not extend ACA premium tax credits, according to a new analysis from the Blue Cross and Blue Shield…

Humana saw a double-digit increase to its net income compared to last year's second quarter and said 22 percent more of its members are now covered under a value-based care model, according to the company's earnings report filed July 27.

A coalition of healthcare organizations in California have signed a memorandum of understanding to commit to the California Advanced Primary Care Initiative — a plan to transition primary care practices throughout the state to a value-based delivery and payment model.