Payer

Medicaid enrollment is dropping across states while total spending in the program increased modestly in fiscal year 2019, according to a policy brief published by the Kaiser Family Foundation.

The New Jersey Department of Banking and Insurance rejected a proposal from Horizon Blue Cross Blue Shield of New Jersey that would have outsourced some claim reviewal and medical necessity determination to a third-party company, according to the North Jersey…

Here are 11 recent articles posted by Becker's Hospital Review that concern payer-provider relationships:

After more than 10 months of negotiations, Mercy Medical Center in Springfield, Mass., agreed to a new three-year contract with Cigna, according to Mass Live.

Molina Healthcare entered into a definitive agreement to acquire Medicaid assets from a New York health plan, the health insurer said Oct. 16. 

UnitedHealth Group and its health services subsidiary Optum are undertaking a new effort to combine health insurance and medical care, according to Forbes contributor Bruce Japsen.

U.S. News & World Report published its annual list of the best health insurance companies offering Medicare Part D prescription drug plans in 2020.

U.S. News & World Report published its annual list of the best health insurance companies offering Medicare Advantage coverage in 2020.

Aetna's vice president of consumer experience, Stan Nowak, joined the board of directors for third-party risk management company Censinet.

Insurer Oscar filed a notice of appeal Oct. 16 after a judge dismissed the startup's lawsuit against Florida Blue, according to the Orlando Sentinel.