Payer

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.

The number of Texans who received health coverage in 2022 under the Affordable Care Act grew 42 percent from the year prior, according to a study from the Houston-based Episcopal Health Foundation.

In 2021, HealthPartners' operating income grew 56 percent from the year prior, and the company paid out a record number of claims costs, according to its annual report.

A Florida auto mall owner has created his own health plan for employees after facing high costs and low-quality care from his commercial plan, according to WFTS.