Payer

After notifying some employees of new COVID-19 vaccination requirements, BlueCross BlueShield of Tennessee fired its first employees who did not get the shot. 

The State of Connecticut Health Plan's payment model with Dallas-based Signify Health has been named an Advanced Alternative Payment Model by CMS. 

Optum and St. Louis-Mo.-based SSM Health are partnering on a range of functions to improve accessible, affordable healthcare across the Midwest.

A lawsuit out of Florida is challenging Anthem's decision not to cover an air ambulance trip, despite the patient's physician deeming it medically necessary.

New York insurers and employers are bracing for the impacts of Gov. Kathy Hochul's sweeping measures to address hospital staffing shortages by waiving prior authorizations, among other requirements. 

The latest conversations surrounding expanding Medicaid coverage involve considerations of pulling funds bookmarked for encouraging expansions and instead using them to create a federal option.

Minneapolis-based Bright HealthCare is entering Texas as it offers new plans in three cities. 

Boardman, Ohio-based Southwood Health is now in network for Humana members as of Oct. 1.

Washington, D.C., Mayor Muriel Bowser paid $13.5 million in overdue health premiums for individuals and businesses with DC Health Link coverage. 

Here are five recent lawsuits and settlements involving payers: