Payer

  Forty-two Democrats in Congress are calling on the Biden administration to toss short-term health plans they say pose financial risks to consumers.  

Ten providers —  including Northwestern Medicine and St. Charles Health —  recently posted job listings seeking leaders in payer contracting and relations.

Molina Healthcare of Iowa named Tim Gutshall, MD, chief medical officer April 25. 

Since 2010, 23 states have introduced a total of 49 bills to create a public health plan option within their respective marketplaces, according to a March report from the Harvard Journal on Legislation.

CMS sent a letter to Texas' Medicaid and Children's Health Insurance Program director April 22 to say that it would no longer work to rescind an extension of a Texas Medicaid waiver.

CMS proposed a rule change April 22 it said would eliminate delays in Medicare coverage and extend coverage of immunosuppressive drugs for certain beneficiaries.

The Kaiser Family Foundation calculated monthly average ACA marketplace benchmark premiums per state in 2022. The national average is $438.

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.