Payer

States like California and New York have made headlines both for taking steps toward creating a single-payer healthcare system and failing to turn momentum into actionable legislation, according to a Feb. 21 National Review report. 

Cigna largely draws its C-Suite talent internally, anchored by members with decades of experience with the payer.

Centene made campaign contributions to the majority of Mississippi's lawmakers and state officials while the state was actively investigating whether the payer had misrepresented Medicaid costs to collect overpayments, according to the Daily Journal. 

Health leaders are anticipating that the COVID-19 pandemic is waning, and the majority of payers are reinstating cost-sharing policies that were waived for much of the pandemic, according to the Star Tribune. 

As it enters its second year of offering a public health insurance option, Washington state is blaming hospital resistance for the program's slow adoption, according to a Feb. 21 NPR report. 

Missouri, one of the latest states to expand its Medicaid program, is facing a backlog of new enrollee sign-ups, causing delays well past what federal law allows, according to Kaiser Health News.

When patients receive care at a hospital or urgent care facility, having insurance doesn't guarantee they receive the lowest price for services.

GuideWell subsidiary Florida Blue is using Olive-created artificial intelligence to reduce the turnaround time for prior authorizations by an average of 10 days. 

Tufts Health Plan received $3.7 million in Medicare Advantage overpayments, the HHS Office of Inspector General announced Feb. 14. 

CMS' new monthly special enrollment period for ACA marketplaces is slated to kick off in late March and continue monthly, according to the American Hospital Association.