Payer

Health insurers Kaiser Permanente and Blue Cross Blue Shield of North Carolina are the latest members of the Health Care Transformation Task Force.

President Trump’s recent speech about lowering drug price has been both lauded as long-overdue and derided as an overly-broad policy blueprint that lacks real action steps.

During President Donald Trump's first year in office, the uninsured rate for Americans ages 18-64 rose slightly to 12.8 percent, the same rate as 2015, according to a report from the federal Centers for Disease Control.

Health insurance startup Oscar Health said it finally has the claims processing infrastructure to provide clearer physician payments — and turn a profit, according to CNBC.

Payer mix changes, like a shift toward more patients in government programs, coupled with rising healthcare costs, mean change is likely coming for America's healthcare payment system, according to the Beaverton Valley Times.

Highmark Blue Cross Blue Shield of Delaware sent out the wrong explanation of benefits forms to 507 members in March, according to the Delaware Department of Insurance. 

Blue Cross Blue Shield of North Carolina has eliminated LifeBrite Community Hospital of Stokes (N.C.) from its network, according to the Winston-Salem Journal.

CMS sent a letter to companies providing Medicare Part D plans May 17, calling for an end to gag clauses in contracts between insurers, pharmacy benefit managers and pharmacies.

In April, a federal judge denied Blue Cross & Blue Shield of Rhode Island's motion for summary judgment in an antitrust suit filed by Boston-based Steward Health Care. Last week, the judge denied the insurer's request to immediately appeal the…

Cigna and Express Scripts are planning a merger for several reasons, one of them being "the potential entry into the healthcare industry of significant new participants," according to a May 16 Securities and Exchange Commission filing.