Payer

CMS announced Nov. 13 that Medicare Part B premiums and deductibles will see the largest hike in the program's history next year.

The former head of UnitedHealthcare's Shared Savings Program alleged during testimony that the insurer was willing to pay for its members' surprise medical bills, but only if they filed a complaint to the company. 

An "internal error" is requiring nearly 14,000 BlueCross BlueShield of Tennessee Medicare Advantage members to reenroll in coverage or else lose their insurance, WBIR reported Nov. 11. 

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.