Payer

Cleveland Clinic and Louisville, Ky.-based Humana created two Medicare Advantage plans for patients in Ohio's Cuyahoga County.

Hartford, Conn.-based Aetna will reimburse members claiming they incurred financial damages resulting from the payer's inadvertent reveal of members' HIV status through mailed envelope windows.

Becker's Hospital Review reported these 10 contract resolutions and dissolutions between payers and providers in September, beginning with the most recent.

As healthcare providers continue to build alternative payment models and transition to value-based care, government and commercial payers are more often requiring providers to assume greater levels of risk.

Cost reduction in healthcare has taken center stage as a national priority.

Hartford (Conn.) HealthCare is no longer in-network for Anthem members after failing to negotiate a new contract Sept. 30, according to a Hartford Courant report.

Dennis Matheis, a former Anthem executive, will succeed Michael Dudley as president and CEO of Optima Health in Virginia Beach, Va., and senior corporate vice president of Norfolk, Va.-based Sentara Healthcare.

Former CMS Acting Administrator Andy Slavitt accused President Donald Trump of "purposely" raising health insurance premiums for Americans after the Trump administration failed to meet a deadline to approve Oklahoma's waiver aimed at reducing residents' health insurance premiums. 

Oklahoma's health commissioner blamed President Donald Trump's administration for missing a final deadline to approve its section 1332 waiver to implement a reinsurance program in 2018.

A new Medical Group Management Association Stat poll surveyed medical groups regarding the percentage of their commercial contracts tied to Medicare Part B payments.