Payer

Payer startups including Orange, Calif.-based Alignment Healthcare, Minneapolis-based Bright Health, Nashville, Tenn.-based Clover Health and Waltham, Mass.-based Devoted Health are increasingly employing physicians and offering healthcare services as part of their business models, according to Business Insider.

COVID-19 is setting the stage for tremendous strain on American health insurance as scientists uncover more of the long-term debilitations associated with the virus.

Payers anticipate a surge in demand for medical services as a result of patients delaying care throughout the pandemic. The American Journal of Managed Care suggested July 5 three technologies that could assist insurers in the difficult days ahead.

Blue Cross and Blue Shield of Oklahoma and Missouri-based Mercy have entered a collaborative value-based care agreement, the insurer and health system said July 6.  

UnitedHealthcare named 10 labs to its 2021 Preferred Lab Network, which denotes select partnerships that are suggested to members based on care and cost. 

A study predicts insurance premiums could rise as much as $9,130 by 2023 for some Americans if provisions of the $1.9 trillion U.S. coronavirus relief package, known as the American Rescue Plan Act, aren't extended.

Dr. Meena Seshamani, MD, will step up as the new CMS deputy administrator and director of Center for Medicare, the agency said July 6.

A federal judge ruled June 28 TheHealth Plan of West Virginia must comply with an ACA provision that prohibits sex discrimination against transgender patients, according to the Charleston Gazette-Mail.

The U.S. Supreme Court said July 2 it will take on a legal dispute regarding how much money Florida's Medicaid program can recoup after a settlement stemming from a 2008 accident.

A delayed UnitedHealthcare policy that aims to deny "nonemergency" emergency room coverage violates patient protections, the American College of Emergency Physicians claims.