Payer Archives - Page 439 of 1141 - Becker's Payer Issues

Walgreens sued by BCBS payers, health systems for alleged drug overcharging fraud scheme

Blue Cross Blue Shield affiliates and other payers are suing Walgreens for allegedly overcharging payers and customers for prescription drugs.

Oscar Health partners with Medecision for member digital care management

New York City-based Oscar Health is partnering with Wayne, Pa.-based Medecision.

Drafted Medicare plan may limit patient access to new Alzheimer's treatment, report says

Washington, D.C.-based healthcare consulting firm Avalere Health studied the potential effect of a draft Medicare plan that could prohibit patient access to new monoclonal antibody Alzheimer's disease treatments.

Health Net Federal Services names 6 new leaders

Health Net Federal Services has appointed six new members to its executive team.

5 years later: Chief medical officer shares results of Banner|Aetna joint venture

The American Hospital Association analyzed a March 3 report from Banner|Aetna Executive Vice President and Chief Medical Officer Robert Groves, MD, and his reported results of the joint venture between the two companies.

Humana focused on primary care over M&A after Kindred purchase

Humana says it is focusing on primary care opportunities over large-scale mergers and acquisitions in the future, according to Home Health Care News.

Medicare Advantage collected $12B in 'excess payments', watchdog report says

Medicare Advantage plans received $12 billion in excess payments in 2020, according to a March 15 congressional report from the Medicare Payment Advisory Commission.

Molina called out over reimbursement, provider directory errors

Molina Healthcare, a Fortune 500 insurance company, was called out over low reimbursement to providers and errors in its provider directory, according to a report from investigative media firm Dolcefino Consulting.

Providing health coverage regardless of immigration status could save state $710M annually, NYC comptroller says

Expanding healthcare coverage to include New York residents living in the country without legal permission could boost the state's economy by $710 million per year, according to a March 15 analysis from New York City Comptroller Brad Lander.

Molina expands mobile substance use recovery support to Medi-Cal members

Molina Healthcare of California is partnering with Seattle-based WEconnect Health Management to expand mobile substance use recovery support to Medi-Cal beneficiaries.