Payer

Effective collaboration between payers and providers can be challenging, particularly as more people receive care outside of the hospital and providers shift to reimbursement based on quality of care, rather than volume.

In light of the COVID-19 pandemic, many commercial health insurers waived cost-sharing for medical and behavioral telehealth services.

Group Health Inc., a subsidiary of EmblemHealth, overstated its supplemental executive retirement plan costs to Medicare, according to a report from HHS' Office of Inspector General.

Here are four new partnerships that hospitals and health insurers recently announced:

In 2019, 9.2 percent of Americans, or 29.6 million, didn't have health insurance. That's down from 15.5 percent in 2010, before many provisions of the ACA took effect.

A million more people likely went without health insurance in 2019 than the year before, according to a new report from the Census Bureau. 

Columbia, Md.-based MedStar Health has a new value-based partnership with CareFirst BlueCross BlueShield that the organizations said will positively affect projected care costs by $400 million during the next seven years.

Memphis, Tenn.-based Baptist Memorial Health Care and Blue Cross & Blue Shield of Mississippi are opening a primary care clinic focused on redesigning the patient experience.

Cigna is rebranding its health services division, including pharmacy benefit manager Express Scripts, as Evernorth, it said Sept. 16. 

MarinHealth Medical Center and Anthem Blue Cross signed a new contract for the insurer's members to keep in-network access to services at the Greenbrae, Calif.-based hospital.