Payer

UnitedHealthcare will begin denying some emergency department claims for its commercial members if an internal evaluation finds the services were nonemergent.

Envision Healthcare filed a lawsuit May 28 against UnitedHealthcare, claiming its network contracts with New Jersey hospitals violate state policy.

Kansas City, Mo.-based Caravan Health founder Lynn Barr was appointed to a three-year term as a member of the Medicare Payment Advisory Commission, according to a June 2 news release.

Reno, Nev.-based Renown Health and UnitedHealthcare have terminated their in-network contract agreement, according to News 4.

CenterWell, a Humana subsidiary, announced it is expanding its value-based care model to include original Medicare benificiaries.

Bayonne, N.J.-based CarePoint Health announced a participation agreement with Aetna, making the health system in network with all major insurers effective Aug. 1.

Consulting company Guidehouse released a report discussing growth opportunities for risk-based partnerships between payers and providers, also known as "payviders," in U.S. markets. 

Intermountain Healthcare plan SelectHealth named Marti Lolli CEO, the Salt Lake City-based health system said June 3.

Renton, Wash.-based Providence Health Plan entered a partnership agreement with Cigna effective June 1 to expand the plan's network.

The Oklahoma Supreme Court struck down an initiative for a privatized Medicaid program.