Payer

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.

In response to an October executive order by President Donald Trump, HHS proposed regulatory changes Tuesday that would extend the availability of short-term insurance plans.

New Mexico officials rejected claims its selection of managed care insurers to run its Medicaid program was biased, the Santa Fe New Mexican reports.

Two hospitals recently acquired by Peoria, Ill.-based OSF HealthCare from Chicago-based Presence are back in network with Blue Cross Blue Shield of Illinois as of Feb. 16, The News-Gazette reports.