Payer

GS Labs is responding to a July 2021 lawsuit from Blue Cross and Blue Shield of Kansas City with a counterclaim that alleges the payer violated federal antitrust laws and conspired with other affiliated companies to withhold payments. 

Oscar Health is providing members with an enhanced virtual cost estimation tool in an effort to increase medical cost transparency. 

UnitedHealth Group may be slated to give more attention to home-based care, company executives said during a Jan. 19 earnings call. 

Six of the nation's 13 largest payers currently offer direct coverage for at-home COVID-19 tests, according to a Jan. 20 Kaiser Family Foundation study. 

The prices commercial insurers pay to providers continues to grow higher than the price set by Medicare's fee for service program, according to a report from the Congressional Budget Office. 

Andrew Dreyfus, president and CEO of Blue Cross Blue Shield of Massachusetts, will resign at the end of 2022 after 12 years at the helm. 

Blue Shield of California is offering members enrolled in Wellvolution, its behavioral health program, access to personalized mental healthcare from Ginger. 

HHS' reaffirmation of the ACA's requirement that payers cover FDA-approved contraceptives is the first of many necessary steps to ensure insurers stop skirting around coverage requirements, Martha Nolan, senior policy advisor at nonprofit HealthyWomen, wrote in a Jan. 13 op-ed…

More than 120 organizations — including payers, businesses and advocacy groups — have signed on to a coalition that opposes proposals that would enact and fund a single-payer healthcare system in California. 

Annie Lee is slated to join Colorado Access, the state's largest Medicaid plan, as its president and CEO on Feb. 14, according to a news release shared with Becker's.