Payer

As President Joe Biden is looking to cut $1 trillion out of his $3.5 proposed spending package, top lawmakers want to ensure proposed ACA subsidy expansions and efforts to close state Medicaid gaps are top priorities.

Implementing the No Surprises Act, the federal government's attempt to cut down on surprise billing practices, could slow the growth of healthcare premiums.

A recent Commonwealth Fund study found that Medicare Advantage and traditional Medicare enrollees have comparable healthcare experiences and concerns about costs.

UnitedHealth Group released its third-quarter results Oct. 14, demonstrating double-digit growth throughout its portfolio.

U.S. physicians routinely are seeing their higher-cost claims downcoded by insurers, a strategy a family physician in Cincinnati called a revenue grab, according to Medscape. 

Aetna and Minneapolis-based Allina Health's joint venture, Allina Health Aetna, is expanding its Medicare Advantage options ahead of the upcoming open enrollment period. 

Blue Cross Blue Shield of Michigan is rolling out a new partnership with Grand Rapids Community College (Mich.), where the organizations partner to train health insurance agents.

Humana is scaling its Cohere Health-enabled musculoskeletal prior authorization platform from use in 12 states to the entire country.

Humana will be refunding $18.3 million to the Kentucky Public Pensions Authority, whose Medicare plan it administers.

An opinion piece co-authored by Donald Berwick, MD, former CMS administrator, chalks up the surge of Medicare Advantage offerings in recent years to the system being a "money machine" for payers.