Payer

An HHS Office of Inspector General audit found SCAN Health Plan received $54.3 million in overpaid Medicare Advantage claims. 

Payers across the country are giving members access to more virtual care platforms and building out their networks.

Physicians leaving Medicare accountable care organizations are undoing the quality improvements they saw after joining the groups, according to a University of Michigan study. 

Luis Torres, MD, Evernorth behavioral health medical director, was named a CEO Action for Racial Equity fellow for 2022. 

UnitedHealthcare and the Rhode Island Public Transit Authority received subpoenas from state Attorney General Peter Neronha Jan. 27 regarding a data breach that compromised the data of 22,000 people, according to The Boston Globe.

Cigna reported growing revenue at the end of 2021, but undercut profits compared to 2020, according to the payer's fourth quarter earnings report. 

CVS Health was named an international most admired company and an all-star ranking on Fortune's "2022 World’s Most Admired Companies" list. 

Humana reported a 27 percent dip in 2021's profits year over year, prompting an initiative set to generate $1 billion in value through streamlined productivity and cost savings. 

Long hold times, crashing websites and mailing delays are aspects of a crumbling technology infrastructure that is plaguing government-supported health insurance programs, according to an NPR report. 

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.