Payer

The Biden administration issued an interim final rule Nov. 17 that requires health plans to report prescription drug and health coverage costs. 

President Joe Biden's proposed $3.5 trillion Build Back Better framework has the potential to significantly shake up the health insurance landscape, according to a Kaiser Family Foundation analysis. 

Point32Health, the combined company formed by Tufts Health Plan and Harvard Pilgrim Health Care, reported steep third-quarter losses, continuing to put the company in the red in its first year since being formally announced. 

Despite their widespread acceptance and use of behavioral healthcare, baby boomers are beginning to face challenges with Medicare's limited coverage of therapy and similar services. 

Payers and providers are having a harder time landing network contracts, and patients' wallets are stuck in the middle as they face more out-of-network care, Forbes reported Nov. 16. 

Magnolia Health's Ambetter will be offered through the federal insurance marketplace in 63 counties across Mississippi.

Clover Health is publicly offering 35 million Class A stock shares, the company announced Nov. 15.

Blue Cross and Blue Shield of New Mexico entered a value-based agreement with Addus HomeCare subsidiary Ambercare, which will implement Addus' services statewide. 

Medicare Advantage members who frequented providers with value-based care arrangements spent significantly less time in a hospital than non-value-based members. 

Anthem Blue Cross is expanding BlueHPN, its high performance network, effective 2022.