Payer

The U.S. Court of Federal Claims granted class-action status for a health insurer's lawsuit against the U.S. government over its decision to end cost-sharing reduction payments, which helped insurers subsidize the cost of coverage for low-income Americans.

The payment landscape is undergoing profound changes as a greater burden of healthcare costs move from insurers to patients.

Aetna is adding more than 250 jobs at its Wellesley, Mass.-based consumer health and services offices, The Boston Globe reports.

Blue Cross and Blue Shield of Illinois can no longer enroll members in the state's overhauled managed care Medicaid program, according to Crain's Chicago Business.

Humana added a second specialty bundled payment initiative to its value-based care program: a maternity episode-based model.

Cigna confirmed it will undergo Department of Justice scrutiny as it attempts to acquire Express Scripts for $54 billion, according to a Bloomberg report.

Aetna will realign its business segments as it gears up for a pending $69 billion merger with CVS Health.

Atlanta-based Piedmont Healthcare and Blue Cross Blue Shield of Georgia shook hands to resolve a weekslong contract lapse that left hundreds of thousands of patients in out-of-network limbo.

Health insurance startup Bright Health, led by a former UnitedHealthcare CEO, expanded its coverage to 12,000 members in Colorado during its first year of operation, CNBC reports.

Both commercial and federal health plans engage in various practices that complicate the emergency department revenue cycle, says Ed Gaines, JD, chief compliance officer at Zotec Partners.