Payer

A contract between Springfield (Ill.) Clinic and Blue Cross Blue Shield of Illinois is ending Aug. 19, and both sides are at odds over who is to blame.

Chicago-based Health Care Service Corp. is expanding Medicare Advantage plans to over 90 new counties as it provides new plan options to 1.1 million eligible people, marking the largest expansion of its kind for the insurer. 

To improve health outcomes and lower healthcare costs, providers and risk-bearing entities must collaborate across the entire care continuum. This is essential for patient and member-centered care.

Banner|Aetna, the joint venture chartered by Phoenix-based Banner Health and Aetna, is stepping into Arizona's ACA marketplace in January 2022. 

A CMS rule set to be proposed Aug. 10 is seeking to officially end the Center for Medicare and Medicaid Innovation's "most favored nations" model, according to a CMS document. 

After a banner second quarter in 2020, for-profit health insurers are seeing their profits fall back to numbers that are closer in line with pre-COVID-19 levels.

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.