Payer

Molina Healthcare saw sharp increases in revenues through 2021, anchored by a 47 percent jump in premium revenue. 

A North Carolina judge ruled against Aetna Feb. 9 over an "all or nothing" policy that allegedly resulted in mismatched reimbursements and denied claims for a mental health recovery, according to court documents. 

UnitedHealthcare received $42 million in fraudulent claims over four years from a South Florida clinic, the Justice Department announced Feb. 10. 

America's Health Insurance Plans' board of directors and CMOs issued guidance to payers on protecting patient data as the landscape continues to adopt virtual tools and solutions. 

Members are not taking advantage of requirements that payers must cover at-home COVID-19 tests, and signs point to reimbursement woes as a key contributing factor, according to TMJ4. 

While UnitedHealthcare dominated 2021 in terms of revenue among health insurers, it's a tight financial race between many of the country's other top payers. 

More than 90 percent of physicians reported that prior authorization delays care, and nearly one-fourth say those delays have led to patient hospitalizations, according to a Feb. 10 American Medical Association survey. 

Maternity and neonatal care company ProgenyHealth anticipates five trends will dominate the way payers cover and support mothers and caregivers.

Blue Shield of California is collaborating with community partners to launch a new health equity initiative targeting mothers.

Humana Specialty Pharmacy arm announced Feb. 8 that it would begin offering members Tagrisso and Lenvima, two drugs for cancer treatment.