Payer

CalOptima is investing a record $50 million over the next five years into 26 community health centers in Orange County, Calif.

Below are the largest commercial payers in each state by total enrollment, according to data and analytics firm ValuePenguin.

A former nurse has filed a proposed class action lawsuit against Anthem over alleged violations of the Fair Labor Standards Act and New York labor law, according to Law Street Media.

It's been a trend for years — payers offering incentives and discounts to enrollees for health and fitness technology in an effort to improve members' overall health.

It's been just over a year since Highmark became the primary licensee of HealthNow New York; now, at least 40 percent of the company's top executives have left the Buffalo-based health plan, according to Buffalo Business First.

The CMS decision to restrict coverage of the Alzheimer's drug Aduhelm to those participating in qualifying clinical trials may not do enough to remove barriers for racial minorities and others disproportionately affected by Alzheimer’s disease, Bloomberg reported April 13. 

From a judge ordering Northside and Anthem to take their dispute to the Georgia Department of Insurance to Humana and Louisiana's Baton Rouge General Hospital reaching a coverage agreement, here are five recent payer contract disputes and resolutions:

Sen. Chuck Grassley, R-Iowa, said Republicans will not attempt to repeal the ACA if they retake the Senate in the midterm elections, The Washington Post reported April 13. 

UnitedHealth Group experienced double-digit revenue growth and an improved 2022 outlook, according to its quarter one 2022 earnings report released April 14.

The 400,000 patients at Atlanta-based Northside Hospital System with Anthem insurance will remain in network "until further order," a judge ruled April 13 according to NBC affiliate WXIA.