Payer

Redetermining Medicaid eligibility after the end of the COVID-19 public health emergency will require unprecedented effort, strain resources and create risks of coverage loss, America's Health Insurance Plans said in a May 17 letter to the Federal Communications Commission.

Bloomberg Industry Group in Crystal City, Va., is offering a free in-house health clinic to all 950 of its employees, according to WJLA.

Cigna has been hit with a proposed class action lawsuit over allegations the payer improperly denied COVID-19 testing claims, Lawstreet Media reported May 18. 

Newark, Del.-based ChristianaCare will open two new dual practice sites this fall that include a primary care clinic for families and a separate practice exclusively for members of the Highmark Blue Cross Blue Shield Delaware Medicare Advantage plans, which were…

Kansas Gov. Laura Kelly vetoed legislation that would have prevented her office from seeking new contracts with payers for the state's Medicaid program, The Kansas City Star reported May 13. 

Anthem and Broomfield, Colo.-based SCL Health are currently in negotiations for a new contract, NBC affiliate KKCO reported May 18. 

CMS unveiled changes to the medicare.gov website May 18 that it said makes the site easier to use. 

Connecticut-based payer ConnectiCare said a computer system error resulted in the accidental release of personal information of 1,200 of its members, CT Insider reported May 18. 

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.