Aetna Health of California must stop using national standards to deny payment for emergency room claims, the California Department of Managed Health Care ordered Aug. 25.
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An analytics firm that found Tennessee's State Group Insurance Program is overcharging providers may face a lawsuit from the state's largest health insurer.
While most private health insurers moved to waive member cost-sharing for COVID-19 testing and treatment, many of those waivers are expiring in coming months.
UnitedHealthcare is changing which medication for HIV prevention it considers a covered option for members.
Centene Corp. and its subsidiaries underpaid a group of emergency room physicians who are part of TeamHealth, according to an Aug. 18 verdict.
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Devoted Health, a "payvidor" that provides Medicare Advantage coverage and home-based healthcare services, is growing its workforce, according to Mainebiz.
Six CEOs at the largest publicly traded managed care insurers in the nation earned more than $15 million each in 2019, according to S&P Global Market Intelligence.
Health insurer startup Oscar will run a Medicare Advantage plan with two health systems in Florida, the organizations said Aug. 19.
The COVID-19 pandemic has changed how large employers are planning for healthcare costs and benefits for their employees, according to a survey from the Business Group on Health.
Cleveland Clinic and Aetna are forming an accountable care organization that includes the launch of a co-branded insurance plan designed for employers in Northeast Ohio and expanded access to the health system for second opinions and heart care.