Payer

Nine hospital and healthcare groups are calling on a federal appeals court to rehear a case involving United Behavioral Health's denial of 67,000 mental health and substance abuse claims.

Commercial insurers paid hospitals an average of 224 percent more compared to Medicare rates for inpatient and outpatient services in 2020, according to a new study from RAND Corp. 

The city of Ferris, Texas is using its allocation of American Rescue Plan Act funding to offer basic health coverage and a mobile health clinic to all 3,500 of its residents, according to NBCDFW.

A federal judge in North Dakota has temporarily blocked HHS and the Equal Employment Opportunity Commission from requiring the Christian Employers Alliance and its members to provide health plans that cover employees' gender transition procedures.

Anthem shareholders voted at their annual meeting May 18 to change the company's name to Elevance Health.

Washington is looking to expand health and dental coverage to all residents, regardless of immigration status, according to The Seattle Times.

A Texas HHS director is facing charges for alleged auto insurance fraud related to a car fire in March, according to a Travis County arrest warrant obtained by NBC affiliate KXAN.

Medicare Part D enrollees without low-income subsidies paid an average of $520 in out-of-pocket insulin costs in 2019, according to a May 17 report from the Kaiser Family Foundation. 

Bobby Sherwood is senior director at Burlington, Mass.-based HealthEdge and head of product for GuidingCare. He spoke with Becker's about how payers and providers can build new and better reinforce existing relationships in their steady transition toward value-based care models. 

Winston Salem, N.C.-based Novant Health has signed a letter of intent to own a portion of HealthTeam Advantage, a Medicare Advantage plan providing coverage to more than 15,000 Medicare beneficiaries in the state.