Anthem selected Prakash Patel, MD, as the executive vice president and president of its diversified business group. The appointment, effective Aug. 6, comes as the Optum-like division competes with rivals on the prow for provider acquisitions, according to Forbes contributor…
Payer
More than a dozen health insurers are shrugging off political uncertainty and the Trump administration's recent suspension of the ACA's risk adjustment payments to enter the individual marketplace, according to Bloomberg.
Humana paid $128,422 in back wages to 17 employees after a U.S. Department of Labor investigation found the health insurer violated overtime and recordkeeping regulations, the government said July 9.
Blue Cross and Blue Shield of Vermont claimed the state has systematically underfunded the insurer, causing its reserves to decrease every year since 2014, according to the VTDigger.
The Blue Cross Blue Shield Association said members will face significant premium increases next year when purchasing plans on the ACA's individual marketplace after President Donald Trump's administration halted risk adjustment payments to insurers, BCBSA said.
The Trump administration is freezing billions of dollars in risk adjustment payments, which were established under the ACA to help insurers that accept high-cost patients protect their bottom lines, according to The Washington Post.
Oceanside, N.Y.-based South Nassau Communities Hospital resolved a dispute with Empire BlueCross BlueShield to keep the hospital in the insurer's network.
Fishersville, Va.-based Augusta Health and Augusta Medical Group reached a four-year agreement with Anthem Blue Cross and Blue Shield after the provider left the insurer's network roughly six months ago.
Humana is notifying an undisclosed number of members across several states to a potential compromise of their health information after it discovered a "sophisticated cyber spoofing attack" on two of its websites June 3.
The Kansas Department of Health and Environment chose Aetna over Amerigroup as one of three insurers to manage the state's Medicaid program.
