Payer

Uncertainty induced by COVID-19 is complicating the job of health plan actuaries, who are currently making financial decisions about costs, premiums and benefits for 2021. Steven Lieberman, a nonresident fellow at the USC-Brookings Schaeffer Initiative for Health Policy, expects actuaries…

CMS released a proposed rule May 29 to change the methodology of HHS' risk adjustment data validation, or RADV, program.

Cigna is eliminating cost-sharing for all in-person and virtual primary care, specialty care and behavioral healthcare visits for COVID-19 and non-COVID-19 care, the payer said June 1. 

The following payer executives changed their positions in May.

The health insurance industry has changed how it reimburses for telemedicine and diagnostic testing for COVID-19-related services. Maureen Sullivan, chief strategy and innovation officer at the Blue Cross Blue Shield Association, told Yahoo Finance the industry is likely to see…

Cigna is providing employers a new opportunity to help employees who may need financial assistance during the COVID-19 pandemic.

U.S. Rep. Katie Porter, D-Calif., sent a letter to the CEO of UnitedHealth Group May 26 that questioned whether the health insurance company has moved to narrow its provider network and decrease reimbursement during the pandemic.

Philadelphia-based Penn Medicine and UnitedHealth Group have partnered to launch a digital mental health program called Cobalt.

Delaware insurance officials have ordered actions to address reports of premium errors among some Highmark Blue Cross Blue Shield members with supplemental Medicare coverage.

Blue Cross Blue Shield of Michigan is sending its customers more than $100 million in rebates this year as the insurer sees significantly fewer claims for healthcare services deferred by the COVID-19 pandemic.