Payer

An interim final rule for the No Surprises Act could play a crucial role in managing premiums through determining payment amounts, research professors say. 

Medical clinics in Summit County, Colo., are protesting Bright Health over complaints of unpaid or denied claims.

UnitedHealthcare and Atlanta-based Piedmont Health announced a slew of agreements that bring the provider in network for a variety of health plans. 

Here are six recent lawsuits and case updates involving payers:

UnitedHealth Group is backing an initiative to remove racial bias from the kidney function diagnostic process, it said Nov. 3.

Blue Cross Blue Shield of Arkansas has formally opened the doors on a new corporate center in Springdale, Ark.

Humana's specialty pharmacy arm is being recognized for its care and customer service by Managed Markets Insight & Technology.

Although Medicaid has been slower than Medicare to embrace value-based care, an increasing number of states are defining Medicaid value-based care delivery systems and payment reforms. While significant variation exists, these programs generally emphasize increased alignment among providers, health plans…

While CMS is taking steps this year to make shopping on insurance marketplaces easier, Medicare beneficiaries are looking for additional ways to shop for coverage, according to a report from eHealth. 

Cigna saw strong profits, a bump in revenue and subsidiary development in its third quarter results, announced Nov. 4.