Payer

Aetna settled a lawsuit after a former medical director said under oath that he didn't review patients' medical records when making coverage decisions, according to CNN.

While Minnesota has allowed only nonprofit health insurers to sell health plans in the state since 1973, a new law will upend that rule and possibly the market, according to Citypages.

Independence Health Group — the parent company of Independence Blue Cross, the largest health insurer in Pennsylvania — saw its medical claim expenses fall by 6.8 percent in 2018, according to The Philadelphia Inquirer.

In late August 2017, Joseph Hockett II deposited more than $33,000 into his bank account after Blue Cross and Blue Shield of North Carolina reimbursed him for emergency care. Days later, Mr. Hockett, who struggled with addiction, used the money…

CareFirst BlueCross BlueShield raised its minimum wage to $15 per hour ahead of a new Maryland law that will require businesses to do the same by 2026, according to the Baltimore Business Journal.

CMS debuted three payment models for treating the roughly 12 million Americans who are dually eligible for Medicare and Medicaid.

Anthem saw its revenues and net income increase in the first quarter of fiscal year 2019, thanks in part to gains in membership and premium increases, according to the company's financial release.

Blue Cross Blue Shield of Texas members may face high out-of-pocket expenses and confusion after the health insurer broke ties with an emergency room contractor for Arlington-based Texas Health Resources — but not the system's hospitals, according to ABC affiliate…

The number of uninsured patients who were hospitalized or visited the emergency department declined after 2014, when many of the ACA's insurance provisions were implemented, according to a study published in JAMA Network Open.

Centene reported higher revenue and profits as it prepares to buy WellCare Health Plans for $17.3 billion, according to the health insurer's first quarter financial report.