Payer

CMS issued part two of its proposed 2022 Medicare Advantage Advance Notice, which updates payment methodologies to Medicare Advantage and Part D plans.

On Nov. 1, CMS approved Georgia's request to implement a waiver that will change how the state runs its individual marketplace.

Prior authorization workflows remain highly manual in today's healthcare environment, even with advancements in machine learning and robotics process automation. 

Dallas-based Southwestern Health Resources and Humana signed a value-based payment arrangement for Humana's Medicare Advantage members in North Texas, the organizations said Oct. 28.

Molina Healthcare saw premium revenue and profit increase in the third quarter of 2020, with the COVID-19 not significantly affecting results.

Blue Cross and Blue Shield of Illinois launched a new program to financially reward hospitals for reducing their patients' health disparities.

The California Department of Managed Health Care fined Blue Cross of California $1.2 million for delaying coverage authorization for medically necessary services, the department said Oct. 28. 

Medicare, Medicaid and private insurers will all be required to cover a COVID-19 vaccine without any out-of-pocket costs for beneficiaries and members, CMS said Oct. 28.

Here are three stories that involved health insurers laying off workers this year:

Here are six recent contract agreements and conflicts between payers and providers: