Payer

California paid for Medicaid services on behalf of ineligible and potentially ineligible beneficiaries from October 2014 through March 2015, according to an audit performed by the Office of Inspector General.

The uninsured rate hovered at 9 percent, or 28.9 million Americans, in the first nine months of 2017, according to recent CDC data.

UnitedHealth Group plans to increasingly work with physicians, health systems and the government to boost Medicare bundled payment programs.

Excellus BlueCross BlueShield paid 38 hospitals in upstate New York $24.2 million in quality improvement payments in 2017.

The steady rise in C-sections from 21 percent of births in 1996 to 32 percent today is a major quality and cost problem.

Humana recorded charges of $148 million for a voluntary early retirement program and involuntary layoffs it initiated in 2017, according to financial documents filed with the Securities and Exchange Commission.

Three Ohio legislators want to draft a bill barring insurers like Anthem who cover emergency department visits on a discretionary basis from state contracts and tax incentives, The Columbus Dispatch reports.

Blue Cross and Blue Shield of Oklahoma erroneously notified some members they would need to find new physicians or pay out-of-network rates, the Stillwater News Press reports.

While claims-level data for traditional Medicare has been available for several decades, the same light has not been shed on Medicare Advantage data, according to an opinion article published by JAMA.

Anthem will no longer cover monitored anesthesia care or general anesthesia for cataract surgery in most cases, according to a clinical guideline published Feb. 1.