Payer

The country's two largest insurers — UnitedHealthcare and Anthem — are behind on billions of dollars of payments to hospitals due to new reimbursement rules, claims issues and retroactive claims denials, according to a Kaiser Health News article republished in USA…

Eric Palmer is the newly appointed CEO of Evernorth, succeeding Tim Wentworth on Sept. 23. Mr. Palmer, who joined Cigna in 1998, played an integral role in Evernorth's September 2020 launch. The platform is a rebranding of Cigna's health services…

CareFirst BlueCross BlueShield is funneling $2.2 million into different organizations in an effort to support equitable distribution of the COVID-19 vaccine and pandemic recovery.

Payers are unveiling their 2022 Medicare Advantage plans ahead of the open enrollment period beginning Oct. 15. 

About 275,000 Missouri residents are now eligible for Medicaid coverage following the state's Affordable Care Act expansion, according to an Oct. 4 CMS announcement. 

Ahead of the 2022 open enrollment period, Centene announced Oct. 4 its plans to expand its Medicare Advantage reach to 327 new counties, marking 26 percent growth. 

UnitedHealthcare and Hickory, N.C.-based Catawba Valley Medical Center ended their contract on Oct. 1, bringing the provider out of network for thousands of local UnitedHealthcare members.

Empire BlueCross BlueShield and Mount Sinai Health System announced Oct. 4 a new agreement that provides members with the choice to receive care at home or in a hospital setting. 

Nashville, Tenn.-based Clover Health is nearly doubling its Medicare Advantage reach by entering 101 new counties and one new state ahead of the 2022 open enrollment period. 

Humana is launching 72 new Medicare Advantage plans and expanding benefit offerings in 2022.