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Payer

Harvard Pilgrim Health Care, a nonprofit health plan in New England that covers 3 million members, is providing $32 million in premium credits to its customers.

Highmark replaced Kaiser Foundation Health Plan as the Medicare Advantage plan members are most satisfied with, according to the J.D. Power 2020 Medicare Advantage Study.

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The West Virginia Department of Health and Human Resources awarded Aetna Better Health of West Virginia a statewide contract to manage health coverage for Medicaid-eligible residents. 

The Medicaid and CHIP Payment and Access Commission released its June 2020 Report to Congress, which included recommendations on dually eligible beneficiaries, the Medicare Savings Programs and coordination between Medicaid and Tricare.

In recent years, large commercial health insurers have been expanding their reach into the clinic space.

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