Payer

Global investment in insurtech companies broke records in nearly every category in 2021, including total funds invested, deals made, international participation, "unicorn" (companies valued at $1 billion or more) creation, number of companies that went public and the largest single…

CMS issued its final 2023 Medicare Advantage and Part D rule that aims to expand access to care and improve health equity through lower out-of-pocket prescription drug costs and improved consumer protections, according to an April 29 press release.

CMS on April 1 expanded Medicaid and Children's Health Insurance Program coverage to allow state plans to offer postpartum care for 12 months. 

Medicare reimbursement rates should not be the standard to which commercial insurance rates are created, according to the American Hospital Association.

From several state audits revealing Medicaid billing errors to an attorney general accusing UnitedHealth of inflating drug costs, here are eight recent stories involving improper Medicaid reimbursements:

A record high 35.8 millions Americans have insurance through ACA-related coverage as of early 2022, according to an April 29 report from HHS. 

Philadelphia-based Independence Blue Cross is partnering with the national nonprofit Colorectal Cancer Alliance for a new screening and prevention program to close the gap in screening rates and deaths among Black Philadelphians since the start of the pandemic.  

From the resignation of a board member to a restructuring of the CEO's office, here are five recent headlines about the St. Louis-based payer:

Tenet Healthcare and 19 of its hospitals are accusing Cigna of reimbursing claims at low rates and wrongfully denying claims for emergency care in a lawsuit.

The American Medical Association penned a letter to the Justice Department and Federal Trade Commission April 21, urging the federal agencies to modernize the enforcement of antitrust laws regarding mergers in the health insurance market.