Payer

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.

Florida's Agency for Health Care Administration selected nine health insurers April 24 to provide healthcare to the state's nearly four million Medicaid patients, according to News 4 Jax.

Anthem reported strong profit growth as expenses fell slightly and revenue remained flat during the first quarter of fiscal year 2018.

Despite promises from the Iowa Department of Human Services to finish Medicaid contract negotiations before state legislators pass an annual budget, contract negotiations have been stalled and the legislation is expected to pass a budget as early as next week,…

BlueCross BlueShield of Texas may begin requiring some members who access nonemergent care at out-of-network emergency departments to pay their bills in full.

The Department of Justice requested additional information from Cigna and Express Scripts as the government reviews Cigna's proposed $54 billion purchase of the pharmacy giant.

Atlanta-based Piedmont Healthcare and Anthem Blue Cross Blue Shield of Georgia signed a three-year contract April 20, three days after announcing a handshake agreement.

Inpatient joint replacement procedures can place a significant financial strain on health systems, so much so that Center for Medicare and Medicaid Services is in the process of piloting a mandatory payment program to cut costs.