Payer

After receiving an audit from the Pennsylvania Insurance Department, UPMC must pay out $250,000 for claims and notification violations, the Pittsburgh Post-Gazette reported Dec. 30. 

Mark Bertolini, former CEO of Aetna, was named co-CEO of Bridgewater Associates, the largest hedge fund in the world, according to a Jan. 3 news release.

Humana is opening a primary care facility in Gresham, Ore., to provide value-based care to its Medicare Advantage members, the payer announced Jan. 3.

Nearly 3 in 5 Americans believe their insurance should better cover mental healthcare, including therapy visits, according to a ValuePenguin survey released Jan. 3.

UnitedHealthcare is extending its relationship with human resources and benefits administrator Insperity through 2026. 

Biogen slashed the price of its controversial Alzheimer's drug Aduhelm after a problematic  rollout, but the move has still done little to encourage Medicare to cover the controversial drug.

Nearly 400,000 patients affected by a contract dispute between Anthem and Atlanta-based Northside Hospital System will maintain in-network rates for another month after a judge issued an injunction.

More than 27 million Americans are enrolled in Medicare Advantage plans, and insurers are signaling it may be a fruitful market worth more of their resources, according to Forbes. 

CMS approved California's Medicaid proposal — called California Advancing and Innovating Medi-Cal — which aims to make the state's Medicaid program more equitable.

Cigna is strengthening its leadership, partnerships and networks as it rounds out 2021.