Payer

Fishersville, Va.-based Augusta Health went out of network with Anthem nearly five months ago. Now, the hospital said Anthem is attempting to strong-arm two private physician practices into a contract to get the hospital back in network, the News Leader…

CMS issued a request for information on direct provider contracting models as a possible avenue to reduce costs and improve care quality.

Houston-based ManhattanLife Assurance Company of America signed a definitive agreement to acquire Humana's workplace voluntary benefits and financial protection plan business lines.

Aetna reported net income of $1.2 billion in the first quarter of 2018, compared to a net loss of $381 million in the same period a year prior.

The number of working-age Americans without health insurance grew by an estimated 4 million since March 2017, according to the Commonwealth Fund's ACA Tracking Survey.

Peoples Health in Metairie, La., a Medicare Advantage organization, tapped Judy D. Norwalt to serve as assistant vice president of customer service.

In an annual shareholder meeting, Cigna President and CEO David Cordani discussed numerous reasons the health insurer aims to acquire a pharmacy benefits manager — making it clear it was not a defense against Amazon's potential entry into healthcare. 

Centene reported strong results in the first quarter of 2018 as its ACA marketplace presence and expansion into other new programs boosted revenues.

As patients take more control of their healthcare decisions — including where they receive care — hospitals and health systems are focusing on improving patient access.

Humana will now reimburse hospitals based on quality improvement and performance metrics under a new program it revealed April 25.