Payer

As debate over the cost of providing life support for a 2-year-old intensifies, Fort Worth, Texas-based Cook Children's said third-party administrator Aetna's Special Investigative Unit has launched a review, reports The Fort Worth Star-Telegram.

Missouri lawmakers said the decision to not expand Medicaid in the state will likely result in a lawsuit, according to an article in the News Tribune.

Today is Tax Day. Under President Joe Biden's COVID-19 relief bill, there are new deductions and perks for filers, according to Yahoo Finance.

Health insurer Humana is aiming to have its offices fully staffed again by Labor Day.

Texas Attorney General Ken Paxton filed a lawsuit against the Biden administration May 14, alleging that its decision to revoke a state Medicaid funding waiver was an unlawful "power grab." 

A bipartisan group of lawmakers introduced a new bill to reform prior authorization processes for Medicare Advantage plans.

CMS issued guidance May 13 outlining how states can use funding from the American Rescue Plan Act of 2021 for Medicaid programs.

The following payer executive changes were announced in May so far:

Oscar Health reported a $87.4 million net loss in the first quarter of fiscal year 2021, according to financial documents the insurer released May 13.

The Concord, Calif.-based Sutter Health and Aetna joint health plan announced it will offer fully insured products to Northern California employers in the 2022 enrollment season, a May 12 news release said.