Payer

Oscar Health is expecting its premiums to have grown 80 percent year over year by the middle of the year, the payer said during an update to its 2022 outlook. 

Blue Cross and Blue Shield of Minnesota announced a tentative $28 million settlement with Vyera Pharmaceuticals and parent company Phoenixus AG following a lawsuit that accused the companies of monopolizing the Daraprim drug market. 

From Excellus BlueCross BlueShield settling a data breach lawsuit impacting millions of members to GS Labs accusing Blue Cross and Blue Shield of Kansas City of violating antitrust laws, here are five recent legal actions and settlements involving payers.

A Florida judge ruled against Aetna in a proposed class-action lawsuit over the payer's denied coverage of proton beam radiation therapy for cancer patients.

Humana slashed its Medicare Advantage enrollment outlook nearly in half Jan. 6, forcing payers and their stakeholders to reflect on what the market will hold in 2022. 

While ACA enrollment hit a record with 14.5 million sign-ups during the recent open enrollment period, the sustainability of that figure may largely be dictated by the Biden administration's ability to preserve subsidies that are currently temporary, according to The…

Citing the need to recruit and retain workers, Butler (Pa.) Health System is reducing the cost of healthcare for employees.  

A bipartisan bill in Georgia's House of Representatives would require managed care organizations to reimburse the state if they spent too little on medical care or quality improvements, according to Kaiser Health News. 

Ten providers — including Lumeris, Wellpath and St. Luke's University Health Network — recently posted job listings seeking leaders to help payer contracting and relations. 

CMS is earmarking $49.4 million to reduce the number of uninsured children, parents and pregnant people across the country.