Payer

Payers are largely in support of the Biden administration's proposal to fix the "family glitch" within the Affordable Care Act but are urging additional guidance to support implementation, according to a June 3 AHIP letter to the Internal Revenue Service.

Blue Cross of California is facing a lawsuit for allegedly denying and underpaying for COVID-19 testing, Law Street Media reported June 6. 

Amid an ongoing nationwide baby formula shortage, a Phoenix family says Cigna had denied coverage for their children's special prescription formula, according to KPHO.

New Jersey is moving forward with providing public health insurance to all children in the state, regardless of their immigration status, according to nj.com, an online publication of 12 local newspapers.

The U.S. District Court for the Middle District of Georgia ruled June 2 that employers who exclude health coverage for "sex-change" surgeries are violating the Civil Rights Act of 1964.

A Florida payer is accusing five businesses who sell or market health plans of unlawfully providing policies associated with Native American tribes to circumvent state laws. 

After three mass shootings in less than two weeks, CareOregon said it is standing with other healthcare organizations that have declared gun violence a public health crisis. 

Between telltale signs of a looming recession to major health systems facing steep losses coming out of the first quarter, it's clear the healthcare industry is likely to face continued economic challenges beyond COVID-19 in the near future. 

The Justice Department is pursuing legal action against several major Medicare Advantage payers and providers for alleged fraudulent risk adjustment coding practices, according to The Washington Post.

A Colorado bill that would require healthcare-sharing ministries to submit annual reports on their operations to the state's insurance commissioner has been sent to Gov. Jared Polis' desk.