Payer

Forty-three percent of Americans buying individual health insurance purchase coverage outside of the ACA exchanges or have incomes above the threshold determining who gets subsidies to offset premium hikes, Kaiser Health News reports.

Two Boston-based Iora Health primary care practices joined Humana's Medicare Advantage network in Arizona.

Nashville, Tenn.-based Vanderbilt University Medical Center is not in-network with any insurer selling individual coverage on Tennessee's 2018 exchange, according to a Tennessean report.

The 2018 open enrollment period for individuals purchasing health plans on the ACA's marketplaces begins Nov. 1. While the Kaiser Family Foundation states 49 percent of Americans get health insurance through their employers and 7 percent buy coverage on their…

Hartford (Conn.) HealthCare Corp. sued Anthem Blue Cross and Blue Shield over allegations the insurer changed its emergency care reimbursement policies after the two failed to reach a provider agreement last week, according to a Connecticut Law Tribune report.

President Donald Trump plans to sign an executive order later this week that would allow people to pool together and purchase group insurance plans, according to The New York Times.

Anonymous sources told The Washington Post President Donald Trump personally called CMS Administrator Seema Verma to tell her to block Iowa's Section 1332 waiver to stabilize its insurance exchange in 2018.

Louisville, Ky.-based Humana added Community Care Physicians in Latham, N.Y., to its value-based Medicare Advantage network.

The following payers made headlines this week, beginning with the most recent.

Detroit Medical Center and Blue Cross Blue Shield of Michigan will collaborate on a value-based reimbursement model for the eight-hospital system.