Payer

Anthem is moving to acquire Integra Managed Care, a New York-based, managed long-term care plan.

BlueCross BlueShield of Tennessee selected The University of Tennessee Medical Center and University Physicians' Association to serve as the backbone of Blue Network L as it expands to Knoxville in 2022.

Molina Healthcare announced Nov. 9 that Jack Stephenson will be serving as its New York plan president.

Anthem and Atlanta-based Northside Hospital System are reviewing an in-network contract that affects 400,000 patients, but a deadline is still looming as an agreement has yet to be reached, WSB-TV reported Nov. 8. 

Bright HealthCare is launching new in-home care offerings for some members through a partnership with MedArrive. 

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.