Payer

Several pediatric specialists in Austin, Texas, have notified managed care Medicaid members they cannot access services, claiming health insurers are failing to adequately reimburse them, according the Austin American-Statesman.

Pocatello, Idaho-based Portneuf Medical Center's emergency room physicians are out of network with the state's two largest health insurers after the ER physicians reorganized under a new group, according to the Idaho State Journal.

UnitedHealth Group, Humana and other national health insurers may be on a provider acquisition spree, but Centene Corp.'s CEO said acquiring clinics and physician practices is not part of its strategy, according to a Forbes report.

BlueCross BlueShield of North Carolina will offer some members a cash rebate for choosing cheaper physicians and procedures, according to The Herald-Sun.

Anthem has expanded its existing services agreement with IBM, the tech giant confirmed July 26.

Health insurer Anthem reported net income of $1.1 billion in the second quarter of fiscal year 2018, up 23 percent from $855.3 million in the same period last year.

Horizon Blue Cross Blue Shield of New Jersey paid a consulting group $1.7 million to produce reports on how the health insurer could develop its OMNIA Health Plans, which place hospitals in two tiers based on quality and cost. Lower-ranked…

Health insurer Centene saw revenues grow 19 percent to $14.2 billion in the second quarter of fiscal year 2018, up from $12 billion reported in the same period a year prior.

Humana's pharmacy business is the fourth-largest pharmacy benefits manager in the U.S., filling 433 million prescriptions last year, according to an Insider Louisville report.

After freezing billions of dollars in risk-adjustment payments in early July, the Trump administration reversed course, deciding to resume the payments to insurers in the ACA marketplace, according to The Wall Street Journal.