Payer

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.

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. 

Anthem and Quest Diagnostics will collaborate on outcomes-based programs under a new partnership, the organizations said Aug. 17.  

Antitrust claims filed by Humana against Mallinckrodt over price hikes the pharmaceutical company made on an anti-inflammatory drug can advance, a federal judge said Aug. 14.

Cape Girardeau, Mo.-based Saint Francis Healthcare System debuted a direct contracting health option Aug. 17.