Payer

Since its founding in 2013, Orange, Calif.-based Alignment Healthcare has recorded double-digit growth annually and expanded from its home state to reach more than 8 million Medicare-eligible seniors in dozens of counties nationwide.

From continued expansions of Medicare Advantage plans across the country to Michigan forcing a payer to cease all operations, these are 11 recent moves by insurers to exit or enter markets:

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.

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.

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.