Payer

The end of a multiyear agreement between Express Scripts and Walmart means that service members who receive health insurance through TRICARE cannot fill prescriptions at Walmart.

From Blue Cross and Blue Shield to Cigna, here are five executive payer moves to know about:

UnitedHealthcare and Greenville, S.C.-based Prisma Health have reached a multiyear network agreement, the companies announced Nov. 11. 

If President Joe Biden's Build Back Better framework expanding Medicaid is implemented, federal health subsidies would outweigh an estimated increase in hospital spending by nearly 3-to-1, according to an Urban Institute analysis. 

Humana is expanding its social determinants of health initiative, Bold Goal, to include veterans, the insurer said Nov. 10.

CMS is distributing $850 million in ACA funds between MinnesotaCare and Essential Plan, the basic health programs of Minnesota and New York, respectively. 

Minneapolis-based Bright Health reported significant losses in 2021's third quarter despite triple-digit revenue growth.

The cost of healthcare coverage for families with employer-sponsored plans is rising to an average of $22,221 annually, according to a Nov. 10 survey from the Kaiser Family Foundation. 

The majority of payers continued to find strong profits in 2021's third quarter, with notable development from Anthem and slight backpedaling from Humana. 

Chicago-based Zing Health completed its acquisition of Dallas-based insurer Lasso Healthcare on Nov. 9.