Payer

Expansion of Medicaid benefits has reduced uncompensated care costs, a study published in Medical Care Research and Review shows.

CVS Health is planning to sell individual insurance plans under the Affordable Care Act in up to eight states in 2022, according to Forbes. The chosen states have not been disclosed.

Saint Francis Health System in Tulsa, Okla., is set to leave Blue Cross and Blue Shield of Oklahoma's provider network by July 29 if the organizations don't reach a new contract agreement, according to ABC affiliate News Channel 8.

Blue Cross and Blue Shield of Minnesota announced it will continue to waive costs for in-network COVID-19 treatments through the end of the year.

Group members of Highmark, a subsidiary of Blue Cross and Blue Shield, with integrated medical and pharmacy benefits saved an average of $150 to $230 per member, per year and had better health outcomes compared to those who used separate…

Excellus BlueCross BlueShield appointed James Reed as CEO of the nonprofit health plan and its parent company, The Lifetime Healthcare Companies.

UnitedHealthcare and Reno, Nev.-based Renown Health are attempting to reach an agreement to keep Renown in-network for UnitedHealthcare and Health Plan of Nevada members, according to a News 4 article. 

A rule that limited competition between the Blue Cross Blue Shield Association's 35 insurers is no more, a change stemming from a $2.7 billion antitrust settlement, according to The Wall Street Journal.

New York families and private-duty nurses are asking the state's Department of Health to reassess the Medicaid eligibility age of disabled children requiring at-home care.

Prior authorization is a complex, expensive and burdensome process with clinical and financial impacts across the spectrum of care. Built on processes that are mostly manual, even partial automation of submissions and other routine tasks could ease some of the…