Payer

Errors to Aetna's claim processing system booted 42 Medicaid beneficiaries off their plans in Kansas, according to The Garden City Telegram.

Minnesota paid managed care organizations $3.7 million in unallowable capitation payments for dead beneficiaries from 2014-16, according to an audit from the HHS Office of Inspector General.

Outcomes-based contracts are gaining traction among health plans, as new Avalere research finds 59 percent of payers have used the payment model.

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

Atlanta-based Piedmont Healthcare finalized a new contract with Aetna five months ahead of deadline, the organizations said Oct. 3.

Anthem named Ryan Schneider, a former president at Capital One with experience in digital transformation in financial services, to its board of directors.

Negotiations between Anthem and Gainesville-based Northeast Georgia Health System fell through before a new contract could be reached by an Oct. 1 deadline, according to The Georgia Sun.

Humana promoted Jennifer Bazante to chief marketing officer, the insurance company said Oct. 1.

Blue Cross Blue Shield of North Carolina and its board of trustees may face difficulty restoring the company's reputation in the wake of the arrest and resignation of its CEO Patrick Conway, MD, analysts told the Winston-Salem Journal.

Investment banking firm BMO Capital Markets downgraded health insurers UnitedHealth Group and Humana due to uncertainty surrounding the 2020 presidential election, according to The Street.