Payer

As payers brace for the implementation of the federal No Surprises Act on Jan. 1, the health insurance industry at large isn't expected to experience a significant financial shift, according to a Dec. 16 Fitch Ratings report. 

An audit conducted by the Oregon Health Authority found that Oregon Health Plan, the state's Medicaid program, improperly issued claims to providers for in-home care and transportation despite patients being hospitalized at the time, according to The Lund Report. 

Point32Health is rolling out a value-based partnership with outpatient addiction and mental healthcare provider Eleanor Health.

About 41 percent of U.S. healthcare dollars involve alternative payment models — a 23 percent increase over five years, according to a report from the Health Care Payment Learning & Action Network.

Ralph Giacobbe is joining Cigna's leadership team as senior vice president and head of investor relations. 

A judge approved New York City's change to its retiree Medicare contract after a pair of lawsuits, but outlined a new timeline and conditions to its rollout, CBS New York reported Dec. 15.

Flume Health released a digital platform to help health startups build and manage health plans in as little as six months. 

After providing coverage to more than a quarter of the U.S. population in 2019, Medicaid and the Children's Health Insurance Program enrollment recorded increases of 8.9 percent between July 2020 and May 2021, according to a report from the Medicaid…

Blue Cross Blue Shield of Illinois is adding Lisle, Ill.-based Amita Health's Cook County providers to its Blue FocusCare ACA network, doubling the network's size. 

UnitedHealth Group has its sights set on development through executive hires, sustainability initiatives and financial goals.