Payer

Moving routine procedures like colonoscopies and cataract removals away from a hospital outpatient department and to an ambulatory surgery center can save an average of $684 per procedure, UnitedHealth Group said in a report released Sept. 8.

UMass Memorial Health Ventures, Shields Managed Care Solutions and WCAS CM are co-launching Mass Advantage, a new Medicare Advantage plan.

Missouri is implementing a new law to enforce a federal mental health parity law, making it the final state to do so.

A collaboration between Capital Blue Cross and York, Pa.-based WellSpan Health is delivering new Medicare Advantage provider options to members in Central Pennsylvania.

Texas Health Aetna is extending its contract with Denver-based telemedicine company CirrusMD for another three years.

CMS is distributing $452 million to 13 states through reinsurance waivers to support affordable coverage.

The only two physicians on the Oklahoma Health Care Authority Board, which oversees the state's Medicaid program, have stepped down after Gov. J. Kevin Stitt requested that they resign, according to local news station Fox 25.

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.