Payer

Mississippi's largest provider and payer have agreed on a mediator to oversee their contract dispute, Mississippi Today reported May 9. 

Employees making less than $75,000 have higher rates of acute care utilization and spending but lower rates of primary care spending compared with high-salary employees when high-deductible health plans are present, according to a study published May 9 in the…

Texas has the highest uninsured population of any state in the U.S. and holds 85 of the 100 counties with the most uninsured residents, according to 2019 data from the U.S. Census Bureau.

From expansions of Medicaid to include noncitizens to a requirement to cover fertility care, these are seven recently passed state laws that affect payers.

The nation's largest payers have filed their first-quarter earnings reports, revealing which pulled in the largest income and which grew their incomes the most year over year.

Centene's Missouri subsidiary Home State Health will be the sole provider of a specialty plan under the state's Medicaid program that serves about 40,000 foster children and children receiving adoption subsidy assistance.

In less than a decade, healthcare-sharing ministries have seen their membership grow by more than a million people, in part due to an exemption provided in the ACA.   

Prescription drug spending per member, before and after manufacturer rebates, grew faster for those with individual plans than for those enrolled in large group plans from 2015 to 2019, according to a new study published May 6 in the JAMA…

Kaiser Health News Editor-in-Chief Elisabeth Rosenthal, MD, penned an op-ed in the Los Angeles Times on April 19 arguing copay assistance and coupon programs from drug manufacturers are leading to higher premiums and deductibles. 

Arizona Gov. Doug Ducey has signed legislation requiring payers to cover biomarker testing for cancer patients when there is a clinical need.