Payer

CMS released its final 2023 Medicare Advantage capitation and Part C and D rate announcement April 5, and now America's Health Insurance Plans is raising some concerns.

The Affordable Care Act saw enrollment grow by 21 percent this year, and now some payers are cutting the commissions of private brokers, according to Fortune.

The American Hospital Association and American Medical Association are urging the U.S. District Court for the District of Columbia to strike down a provision of the No Surprises Act related to an arbitration process between payers and providers.

A U.S. district judge for the Eastern District of Pennsylvania partially denied a motion to dismiss a proposed class-action lawsuit against Aetna and Princeton (N.J.) University for allegedly seeking illegal benefit reimbursements from beneficiaries who have won personal injury settlements…

CVS Health President and CEO Karen Lynch earned nearly $20.4 million in fiscal year 2021, ranking as the second highest payer compensation package of those publicly released.

Medical spending on behavioral health is expected to continue to increase in 2022, while preventive care spending will struggle to reach pre-pandemic levels, according to a report from San Francisco-based Castlight Health.

A state audit of the Connecticut Health Insurance Exchange found 44 unreported data breaches from July 2017 to March 2021.

Optum and Change Healthcare are extending their merger agreement through the end of 2022 and setting a $650 million reversal fee if the deal isn't successful, according to an April 5 press release.

CMS released its final 2023 Medicare Advantage capitation and Part C and D rate announcement April 5.

President Joe Biden proposed a change in federal regulations April 5 to expand health coverage to millions of people through the Affordable Care Act.