An appeals court affirmed its ruling that UnitedHealth Group isn't allowed to offset overpayments made to out-of-network providers from some of its health plans by withholding payments to the same provider from its different health plans, according to Law 360.
Payer
Humana named William Shrank, MD, CMO of the insurance services division at UPMC Health Plan, its new CMO, the health insurer said Jan. 15.
These 10 contract resolutions and dissolutions occurred between payers and providers since early December, beginning with the most recent:
BlueCross BlueShield of Western New York reached a three-year agreement with Buffalo, N.Y.-based Catholic Health and its affiliated physicians, Catholic Medical Partners, according to The Buffalo News.
Anthem Medicare Advantage members in California and New York can purchase over-the-counter medications and health supplies at CVS Pharmacy stores using their health plan allowance beginning in January, the companies said Jan. 14.
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Dallas-based Tenet Healthcare signed a multiyear agreement that will allow Humana members to access the system's hospitals, outpatient centers and employed physicians at in-network rates through May 2023, the companies said Jan. 15.
Georgia's health insurance plan is rewarding state employees for hitting health and wellness targets, according to Georgia Health News.
Lighthouse Health Plan, a physician-led Medicaid health plan in Pensacola, Fla., will begin serving 24,000 patients Feb. 1, according to the Pensacola News Journal.
Growth in UnitedHealth Group's health services business Optum helped the health insurance company beat Wall Street estimates for the fourth quarter ended Dec. 31, according to Reuters.
Blue Cross and Blue Shield of North Carolina will invest $750,000 in a program aimed at addressing the state's primary care physician shortage, the health insurer said Jan. 7.