Payer

The Navajo Nation is looking to launch its own managed care organization in New Mexico through an agreement with Molina Healthcare.

Nonprofit health insurers claimed Texas health officials violated state law by awarding multibillion-dollar Medicaid contracts to only for-profit payers, according to a lawsuit cited by The Texas Tribune.

The following payer executives changed their positions so far this month.

A suspended Medicaid program in North Carolina could dock $500 million from Centene's revenues next year, the health insurer said in its 2020 guidance.

Trent Haywood, MD, the former CMO of the Blue Cross Blue Shield Association, took a new role at a company providing benefit check and prior authorization technology to clinical labs, home infusion and providers at other alternative sites.

CMS declared a special enrollment period for some seniors living in areas where severe weather added technical issues to the sign-up process.

Seven recent articles posted by Becker's Hospital Review that concern payer-provider relationships:

New York Life Insurance is emerging as a top potential buyer of Cigna's nonmedical group insurance products, according to The Wall Street Journal.

Blue Cross Blue Shield of Massachusetts is directly integrating with Amazon Pharmacy's PillPack so its members who take multiple medications can better manage their prescriptions digitally, the insurer said Dec. 10.

Health insurers are on track to continue seeing solid results in 2020, according to the ratings agency Fitch Ratings.