Payer

Clover Health is partnering with ValueH, a Florida-based provider network with an emphasis on value-based care, to mark its initial venture into the Sunshine State's market. 

For those who have had a mental health visit in the past, nearly half of all 2021 Medicaid mental health visits used telehealth, according to a report by Anthem.

A group of firefighters from Virginia to Maryland rallied outside of Fredericksburg, Va.-based Mary Washington Hospital on Aug. 7 amid calls for an agreement between Mary Washington Healthcare and Cigna. 

A new report points to significant growth among Medicare Advantage plans that offer benefits focused on social determinants of health, with benefits more than tripling since 2020. 

North Carolina Medicaid Deputy Secretary Dave Richard told WCNC the Medicaid reimbursement delays the state's healthcare businesses are experiencing are unacceptable.

The BlueSky Tennessee Institute, a partnership between Blue Cross Blue Shield of Tennessee and East Tennessee State University, has begun accepting applications for enrollment in its inaugural class, The Chattanoogan reported Aug. 5.

Vermont's healthcare regulatory body, the Green Mountain Care Board, has asked Blue Cross Blue Shield of Vermont and MVP Health Plan to lower their proposed premium rates for members in 2022, Vermont Business Magazine reported Aug. 5.

Medical testing lab GS Labs has countersued Blue Cross Blue Shield of Kansas City, alleging the payer violated the federal Coronavirus Aid, Relief and Economic Security Act, a law that requires insurers to pay out-of-network providers for published costs, NBC…

Humana has delayed its office reopening date to Oct. 18 because of the rise in COVID-19 delta variant cases throughout Kentucky, the Louisville Courier Journal reported Aug. 5.

Wenatchee, Wash.-based Confluence Health announced Aug. 3 it will not renew its contract with Premera Blue Cross.