Payer

A Pennsylvania mother took her daughter to Abington-Lansdale (Pa.) Hospital at 2 a.m. due to severe head pain. In their rush, they forgot the family's Aetna insurance card at home — a mistake that cut their hospital bill by $393,…

Most Americans who purchase health insurance through the ACA marketplace are satisfied with the coverage options available, but a number of them also experienced difficulties when attempting to renew or buy coverage, according to a March poll by the Kaiser…

Washington, D.C., may be pumping the breaks on some value-based care initiatives, but more progressive commercial payers like Cigna are putting their weight behind advanced accountable care models.

A phishing email attack on Baltimore-based CareFirst BlueCross BlueShield may have comprised nearly 6,800 members' personal data, the company said March 30.

An in-network contract tying Atlanta-based Piedmont Healthcare to Anthem Blue Cross Blue Shield's provider network expired March 31, affecting hundreds of thousands of patients.

Many payers are turning to creative strategies to improve members' medication use amid intense pressure to rein in costs and improve outcomes.

Retail giant Walmart is in preliminary talks with health insurer Humana about developing a closer partnership, and one possibility is Walmart acquiring Humana, people familiar with the matter told The Wall Street Journal.

Aetna will begin directly applying pharmacy rebates to policyholders' drug purchases in 2019.

Minneapolis-based Allina Health and Aetna selected Tom Lindquist to helm their co-branded health plan as CEO.

California enrolled hundreds of thousands ineligible or "potentially" ineligible beneficiaries under Medicaid expansion, according to estimates detailed in a report from HHS' Office of Inspector General.