Mississippi's state auditor and former attorney general launched an investigation into Blue Cross and Blue Shield of Mississippi's former pharmacy benefit manager, Prime Therapeutics, in 2019, according to the Daily Journal on June 6.
Payer
HHS announced 31 million people currently have health coverage through the Affordable Care Act and Medicaid expansion, a record high.
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.
Advertisement
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.