The Delaware Department of Health and Social Services chose Highmark Blue Cross Blue Shield and AmeriHealth Caritas to operate its Medicaid managed care program.
Payer
CMS released its annual Landscape Files comprising plan participation, premium and benefit design data for 2018 Medicare Advantage and Medicare Part D markets.
Blue Cross Blue Shield of Arizona hired Pam Kehaly to serve as president and CEO, effective in November.
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.
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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.