Payer

Forty Florida medical practices are suing UnitedHealth over the pricing and payment of medical bills, Lawstreet Media reported May 4. 

Medicaid and CHIP enrollment increased by 22.1 percent between February 2020 and January 2022, according to a May 2 report from the Kaiser Family Foundation. 

Regence BlueCross BlueShield of Oregon named Renee Balsiger its new vice president of sales. 

A federal judge in California certified a class action lawsuit against Aetna on April 26 from at least 23 members who claim the CVS Health subsidiary denied them coverage for medically necessary liposuction treatments.

The American Medical Association, American Hospital Association, AHIP and other healthcare organizations penned a letter May 3 to congressional leaders urging the permanent expansion of premium tax credits offered under the Affordable Care Act, which are set to expire at…

Payers have spent a decade transitioning toward value-based care plans in an effort to improve outcomes and costs for members. But plans that advance quality over quantity have done little to address health inequities, according to Josh Liao, MD, an…

Connecticut lawmakers passed a bill May 3 that expands Medicaid eligibility to children 12 and under whose parents meet the income criteria, regardless of immigration status, according to the Connecticut Mirror.

ACA premium subsidies included with federal COVID-19 relief are particularly beneficial to those living in rural areas, according to a May 3 report from the Urban Institute. 

From the University of Mississippi Medical Center and UnitedHealthcare reaching a multiyear agreement, to a Maine physician group dropping Anthem, here are five recent contract disputes and agreements involving payers: 

Bright Health Group reported massive enrollment growth across its commercial, Medicare Advantage and value-based lines, but recorded a net loss of more than $180 million in the quarter ending March 31, according to its first-quarter earnings report released May 4.