Payer

Raquel Bono, MD, a retired Navy vice admiral, joined Humana's board of directors Sept. 4. 

Ascension Wisconsin and Anthem Blue Cross and Blue Shield are launching a health plan on the ACA marketplace for the 2021 coverage year, the organizations said Sept. 10. 

Medicare Advantage organizations may be improperly using health risk assessments to increase risk-adjusted reimbursement, according to a report HHS' Office of Inspector General issued in September. 

Cigna is adding individual and family health plans to the ACA marketplace in nearly 80 counties for the 2021 plan year.

The following payer executives changed their positions in September.

Blue Cross and Blue Shield of Minnesota signed an agreement with Minnesota Healthcare Network to add the Bloomington-based group's 47 independent primary care clinics to the insurer's value-based payment platform. 

A nurse practitioner in Illinois pleaded guilty to charges of healthcare fraud Sept. 8, according to the Department of Justice.

Humana is creating two national programs that will reward providers for better outcomes for heart and shoulder procedures.

Mark Ganz, the CEO of Cambia Health Solutions for the past 18 years, will retire at the end of 2020, the health insurance company said Sept. 8.

Negotiations for a new contract between MarinHealth Medical Center in Kentfield, Calif., and Anthem Blue Cross have stalled ahead of a Sept. 15 deadline, according to the Marin Independent Journal.