Payer

An insurance broker in the District of Columbia was found guilty of committing 22 counts of fraud, making false statements and identity theft in a scheme against CareFirst BlueCross BlueShield.

Atrium Health and Novant Health joined Blue Cross and Blue Shield of North Carolina's value-based network, meaning seven of the state's largest systems will be in value-based arrangements with the insurer in 2020.

The Health Care Cost Institute, a nonprofit organization sharing and analyzing unidentified claims datasets, partnered with the intelligence arm of the Blue Cross Blue Shield Association, the companies said Nov. 12.

UnitedHealth Group appointed Sir Andrew Witty as its president Nov. 11. 

Here are 10 lawsuits involving commercial and government payers posted by Becker's Hospital Review in the past month.

Roughly 15,600 older adults died prematurely from 2014-17 in states that didn't expand Medicaid under the ACA, according to a report from the Center on Budget and Policy Priorities, a progressive think tank.

All but one of seven large commercial payers reported growth in their Medicare Advantage and other private Medicare membership in the third quarter of fiscal year 2019.

Blue Shield of California Promise Health Plan and L.A. Care Health Plan will open their first jointly operated community resource center in December, the organizations said Nov. 6.

Blue Cross and Blue Shield of Illinois broke ground on its new center on Chicago's South Side Nov. 6.

UnitedHealthcare is facing another lawsuit that alleges the health insurer discriminated against members who received mental health services, according to The Recorder.