Payer

Houston-based Memorial Hermann Health System issued a formal contract termination notice to Blue Cross and Blue Shield of Texas, setting the stage for upcoming contract negotiations. 

Cigna is overhauling its Medicare Advantage approach in Connecticut, complete with an expansion, additional plans and new leadership, the insurer announced Nov. 8. 

An audit from the HHS Office of Inspector General found that several of UPMC health plan's high-risk diagnosis codes did not meet federal standards, resulting in $6.4 million in overpayments from 2015 to 2016.

Over 46,000 South Dakota residents signed and submitted a petition to vote on expanding the state's Medicaid program. 

More providers are opting to use risk-based Medicare Advantage models, with nearly 60 percent of health systems now preferring them, according to an analysis from Guidehouse. 

A class-action lawsuit filed Nov. 4 is accusing United Behavioral Health, a branch of UnitedHealthcare, of unjustly denying mental health claims.  

WellCare announced its 2022 special supplemental benefits for people with chronic illnesses, which feature perks ranging from flexible in-home support to a robotic pet. 

Centene subsidiary WellCare announced an agreement with Orange, Calif.-based Prospect Medical that brings its San Antonio, Texas, area providers in network.

Blue Cross and Blue Shield of North Carolina is keeping its telehealth coverage policy after witnessing a 7,500 percent increase in its utilization in 2020. 

Lake Forest, Ill.-based Trustmark Health Benefits is offering a virtual-first health plan through a collaboration with Teladoc Health.