Payer

Matt Eyles, president and CEO of America's Health Insurance Plans, emphasized four tenants health plans should prioritize in 2022 at the advocacy group's 2022 State of the Industry event.  

Policy experts are claiming that California's failure to pass its single-payer healthcare system is a massive blow against similar initiatives around the country, according to a Feb. 28 Kaiser Health News report. 

Iowa Insurance Commissioner Douglas Ommen is calling on a state court to block a Pennsylvania payer from hiking long-term care plan premiums while slashing benefits, according to the Iowa Capital Dispatch. 

The Labor Department clarified rules on covering HIV treatment preexposure prophylaxis July 2021 in an effort to encourage payer compliance, but rollout is still slow six months later, according to CNN. 

Cigna is looking to create $12 billion in value throughout 2022, starting with a plan to buy back $6 billion in stocks. 

UnitedHealth Group is beginning to act on its November promise to shore up its sustainability efforts by halting its mailing paper of prior authorization and clinical decisions to providers, according to a Feb. 25 post on the California Medical Association…

Physicians for a National Health Program is calling CMS' new Accountable Care Organization Realizing Equity, Access, and Community Health Model "direct contracting in disguise," according to a Feb. 24 news release shared with Becker's. 

A Kentucky judge ruled in favor of Anthem BlueCross & BlueShield after a transgender member accused the payer of unjustly denying coverage of gender-affirming facial surgery, according to Bloomberg Law. 

Since the implementation of the ACA, uninsured rates for Black Americans have dropped 40 percent, according to a Feb. 23 HHS report. 

Clover Health hit nearly $1.5 billion in year-end revenue for 2021, but also reported $588 million in losses on the year.