Payer

Despite objections, UnitedHealth Group has to reprocess 67,000 medical claims for behavioral healthcare that it previously denied, a federal judge said Jan. 27.

Aetna expanded its coverage of gender-affirming surgery for transgender women, the insurer said Jan. 26. 

Health First Health Plans, the insurance arm of Rockledge, Fla.-based system Health First, signed a new administrative services agreement with an Oscar Health subsidiary, the organizations said Jan. 26.

Cigna CEO David Cordani sold 55,176 shares on Jan. 21, at an average price of $230 per share, according to filings with the Securities and Exchange Commission and Yahoo Finance.

Anthem's profit declined in the fourth quarter of fiscal year 2020 as the insurer saw greater expenses related to the COVID-19 pandemic, including higher testing and treatment costs.

A contract impasse between UnitedHealthcare and Providence Anesthesiology Associates left one patient in North Carolina with a more than $15,000 surprise medical bill, according to WBTV.

On average, 17.4 percent of in-network claims were denied by payers that offered ACA plans in 2019, according to a new Kaiser Family Foundation report. 

Humana is on track to open more than 100 Medicare centers by 2023 through its Partners in Primary Care business, the insurer said Jan. 26. 

Kentucky hospitals are set to receive between $800 million and $1 billion in additional funding each year if they agree to new quality metrics for Medicaid patients, Gov. Andy Beshear said Jan. 19. 

Nwando Olayiwola, MD, is Humana's senior vice president and first chief health equity officer, the insurer said Jan. 25.