Payer

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.

A federal appellate court ruled in favor of Cincinnati Insurance Co. on July 2, finding that the insurer did not have to cover losses stemming from COVID-19 restrictions that an Iowa dental clinic faced.

Research across states where Medicaid was expanded and not expanded revealed no difference in safety-net hospitalizations, according to a new study.