Payer

Two North Carolina payers — Aetna Better Health Care and My Health by Health Providers of Morrisville — are stepping away from the table after suing the state's health and human services department in 2019 over its Medicaid contract, according…

St. Louis-based SSM Health and Dean Health Plan are warning patients of efforts to trick people into signing up for scam insurance by pretending to be an SSM Health representative, according to NBC affiliate WMTV. 

President Joe Biden is exploring requiring coverage of at-home COVID-19 tests for Medicare beneficiaries in addition to private commercial members, according to a Jan. 26 report from The Wall Street Journal. 

Anthem reported $137 billion in year-end revenue for 2021, anchored by government market and pharmacy growth as commercial development seems to stall. 

Electronic claim payment trends all point to one dynamic: faster turnaround. Simply put, businesses and consumers now expect near-immediate access to funds when they have been given notice of transfer. Luckily, that era of real-time digital payments is not too…

The health insurance market is in a strong, favorable position for the nation's largest payers, according to a Fitch Ratings report shared with Becker's. 

Americans are growing increasingly dissatisfied with the limited protections offered by short-term, limited-duration health plans, according to a Leukemia and Lymphoma Society report.

Excellus BlueCross BlueShield has agreed to a settlement for a class-action lawsuit over a 2015 data breach, according to fingerlakes1.com. 

The Blue Cross Blue Shield Association announced Chris Lugo as the organization's vice president and chief information security officer. 

A Labor Department report found faults both in provider and payer mental health parity, and is now moving forward to further enforce parity and "correct those failures," according to a Jan. 25 Marketplace report.