Payer

Centene announced Oct. 26 that it will begin using a third-party pharmacy benefits manager for its $30 billion in annual spending — a move that CFO Drew Asher said will be "a huge opportunity for an external PBM."

A lawsuit filed by the liquidating trust for Verity Health is claiming MultiPlan and national insurers used their influence to deny providers across the country $90 billion since 2012. 

Amid this year's open enrollment period, call center workers who help Americans navigate ACA coverage options are struggling with their own coverage. 

Premise Health will take over operations at several of Humana's wellness centers under a partnership between the provider and insurer, Premise said Nov. 2.

The Minnesota Department of Human Services has chosen UnitedHealthcare to administer the state's Medicaid program, effective Jan. 1, 2022, UnitedHealth Group announced Nov. 2.

Two and a half months after announcing its companywide COVID-19 vaccination mandate, Baltimore-based CareFirst BlueCross BlueShield president and CEO Brian Pieninck is calling the company's progress "a big step."

The thought of losing health coverage is holding back workers from quitting their jobs or starting their own businesses, a Policygenius survey published Oct. 26 found.

A survey from Hint Health, a direct primary care management platform, found that the majority of consumers are interested in cutting payers entirely out of their employer-sponsored coverage. 

Centene subsidiary WellCare is bringing Iora Primary Care practices in Houston, Charlotte, N.C., and seven Georgia cities into its network. 

Despite the economic strain caused by the COVID-19 pandemic, uninsured rates remained relatively stable throughout 2020, according to an Oct. 29 HHS report.