Payer

Clover Health, the Medicare Advantage startup that is working with Walmart, entered into a definitive agreement to become a publicly traded company through a merger with a special acquisition company.

Humana released results from its value-based programs for the past year, estimating that it saved $4 billion in healthcare expenses that would have been recorded under fee-for-service models. 

M Health Fairview and CentraCare may no longer be considered in-network for Humana's Medicare Advantage members beginning next year, according to the Star Tribune.

The Blue Cross Blue Shield Association named Kim Keck its new president and CEO, effective Jan. 4. 

Payment models that tie compensation to quality and cost goals aren't often focused on disadvantaged communities, and may inadvertently create incentives for hospitals to avoid these groups and sustain structural racism, according to an op-ed published in The New York…

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

Blue Cross and Blue Shield of Illinois is sending its members about $108 million in premium credits, the insurer said Oct. 6. 

Lori Flees, senior vice president and COO of Walmart Health, officially launched Walmart Insurance Services Oct. 6. The insurance agency will "assist people with enrolling in insurance plans and simplify what's historically been a cumbersome, confusing process," Ms. Flees said.

Here are five commercial health insurers that recently announced expansions of their Medicare Advantage products for the 2021 coverage year: 

Blue Cross Blue Shield insurers tentatively reached a $2.7 billion settlement in an antitrust lawsuit that accuses the companies of conspiring to divide markets and avoid directly competing with each other.