Payer

CMS sent a letter to Texas' Medicaid and Children's Health Insurance Program director April 22 to say that it would no longer work to rescind an extension of a Texas Medicaid waiver.

CMS proposed a rule change April 22 it said would eliminate delays in Medicare coverage and extend coverage of immunosuppressive drugs for certain beneficiaries.

The Kaiser Family Foundation calculated monthly average ACA marketplace benchmark premiums per state in 2022. The national average is $438.

An audit from the HHS Office of the Inspector General estimates California improperly claimed at least $23.1 million in Medicaid reimbursement for opioid treatment services.  

The Business Group on Health named seven payers as winners of the Best Employers Award for Excellence in Health and Well-being.

UnitedHealth Group subsidiary Optum has quietly acquired at least two independent primary care groups in Oregon, according to The Lund Report.

Despite over a billion dollars in losses in 2021, Bright Health Group's CEO took in a compensation package far greater than other payer CEOs.

Mississippi's insurance commissioner is urging the state's largest hospital and insurer to resolve their dispute, writing that a split would have a devastating impact on patients, Mississippi Today reported April 21. 

Bechara Choucair, MD, is the senior vice president and chief health officer at Kaiser Permanente. He penned an op-ed in CalMatters April 19 to explain why he believes the payer-provider's proposed no-bid Medi-Cal contract with the state will benefit vulnerable…

Two University of Southern California centers filed a lawsuit April 19 against L.A. Care Health Plan to order the release of unredacted quality-of-care scorecards.