Payer

Humana is seeing a surge in COVID-19 claims over the past several weeks, but at the same time, other claims are on the decline. 

Sandra Guerra, MD, former Humana CMO, is suing the company for alleged employment discrimination over her race and gender, which she claims played a role in her firing.

Three former football players pleaded guilty to defrauding an NFL health reimbursement plan as part of a nationwide scheme.

Health insurance lobby AHIP is asking government officials to implement a "good faith safe harbor" as insurers adjust to an upcoming surprise billing rule.

Pittsburgh-based Highmark Health Plan completed its acquisition of Gateway Health Plan on Sept. 7, according to the Pittsburgh Post-Gazette. 

Morgantown-based West Virginia University Medicine is creating Peak Health, a health insurance services company, to serve its 30,000 employees.

Centene announced a pair of executive appointments Sept. 7, with Brent Layton named president and COO, and Sarah London named vice chair for Centene's board of directors. 

The McAllen-Edinburg-Mission metro area in Texas has the highest uninsured rate at 35.7 percent when compared to other metro areas in the U.S., according to a ranking from 24/7 Wall St.

Medicare costs are set to see increases over last year as the 2022 open enrollment period start date is just over a month away.

The state of California is investing $6 billion into its Medi-Cal program to target community issues that traditionally fall under social services.