Payer

Jefferson Health finalized its acquisition of Temple Health's ownership interest in not-for-profit HMO Health Partners Plans. 

A judge on Oct. 20 ordered Cano Health New Mexico to destroy Optum patient records allegedly stolen by an employee who formerly worked for OptumCare. 

A lawsuit from GS Labs is accusing Minnesota-based Medica of violating the federal COVID-19 relief act by withholding over $10 million in payments for COVID-19 tests. 

Michigan-based Health Alliance Plan is signing on as an Aetna Signature Administrator, providing its members with access to 1.4 million providers outside the state. 

About 8,700 postpartum patients in New Jersey will retain Medicaid coverage up to a year after giving birth — a move CMS said may soon extend to other states.

Independence Blue Cross is tracking amputation risks among some diabetic members through a partnership with Somerville, Mass.-based Podimetrics.

Maryland officials on Oct. 28 announced a two-year, $20 million subsidy designed to make health coverage more affordable for young adults, marylandreporter.com reported.

After ending its old contract Oct. 1, UnitedHealthcare and Hickory, N.C.-based Catawba Valley Health System announced a new agreement Oct. 28.

The operational and financial complexity of healthcare delivery can create tension between payers and providers. This tension can be heightened due to regulations and the implementation of sub-performing technologies.

The generosity of employer-sponsored health plans has remained relatively stagnant since major coverage provisions of the ACA were implemented in 2014, researchers from the Employee Benefit Research Institute and the Blue Cross Blue Shield Association found.