A New Jersey insurance producer pleaded guilty to filing false statements regarding the delivery of $1.5 million in fraudulent claims by Blue Cross Blue Shield, the Department of Justice said April 19.
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The Aetna Connected Plan with CVS Health is the latest joint venture to offer expanded healthcare resources to the St. Louis and Southern California markets.
Stanford (Calif.) Health Care filed a lawsuit against Anthem, claiming its subsidiary Blue Cross Blue Shield of Indiana didn't pay the proper amount for services given to patients.
Health insurer Humana failed to comply with some federal coding requirements, resulting in overpayments of $197.7 million, according to an inspector general's report released April 20.
Evernorth, Cigna's health services business, completed its acquisition of telehealth company MDLive April 19.
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Insurer Anthem is increasing its use of artificial intelligence to streamline the backend management systems of businesses, according to an article from Deloitte published in The Wall Street Journal.
The Anthem Foundation, the philanthropic arm of Anthem, provided a $1 million grant to the American Cancer Society to "mobilize and engage Black Americans in cancer risk reduction," according to a press release.
In a letter to Connecticut Gov. Ned Lamont, payer executives argued against a bill that would impose a $50 million tax on insurance companies, potentially driving businesses out of the state, according to the Hartford Courant.
Blue Cross Blue Shield of Michigan was fined for failing to meet state COVID-19 workplace requirements, according to a recent penalty notification.
CMS rescinded approval for a waiver that would have extended reimbursement to Texas hospitals for uncompensated care for 10 years.