Payer

Alabama has the least competitive commercial health insurance market in the U.S., according to a 2017 update to the American Medical Association's Competition in Health Insurance research.

Blue Cross Blue Shield of Georgia's discretionary emergency room policy is landing hundreds of patients with denied claims after the insurer decided their care could be performed outside the ER, according to physicians who testified during a Sept. 27 hearing.

In a deal valued at $2.5 billion, UnitedHealth Group purchased pharmacy company Genoa Healthcare from a private equity group, according to Bloomberg.

Reforms intended to integrate care and save money in the Oregon Health Plan, the state's $6 billion Medicaid program, have produced mixed results in the first five years, according to the Portland Tribune.

Anthem will sell individual health plans in some Ohio counties after the health insurer exited several ACA exchanges last year, according to the Dayton Daily News.

Aetna inked an agreement to sell its Medicare Part D drug business to WellCare Health Plans for an undisclosed sum, according to CNBC.

Blue Cross Blue Shield of Michigan will pay more than 520,000 policyholders for shopping around for cheaper care, the health insurer said Sept. 18.

The healthcare industry is inundated with data, but patients aren't all that comfortable with health insurers using their personal information to determine policies, according to a recent survey.

It took Katie Carow as long to ask her health insurer whether an upcoming procedure was authorized as it did for her to run 50 minutes' worth of errands.

Many patients find themselves with unexpected medical expenses after health plans deny reimbursement for emergency department services, according to Ed Gaines, JD, chief compliance officer in the emergency medicine division at Zotec Partners.