Payer

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.

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.