Sacramento, Calif.-based Western Health Advantage will extend its coverage to counties in the San Francisco Bay Area after inking an agreement with provider network Canopy Health, according to the Sacramento Bee.
Payer
The health insurance industry's largest companies saw stocks fall Tuesday after the Senate GOP healthcare bill faltered, CNBC reports.
Minnetonka, Minn.-based UnitedHealth Group requested a whistle-blower case alleging the payer inflated Medicare reimbursements by providing false information on members' health statuses be dismissed, Star Tribune reports.
Hartford Conn.-based Aetna added behavior-based security measures to its customer-facing Aetna Mobile app, The Wall Street Journal reports.
The majority of analytics professionals employed by health plans — 77 percent — expect spending on analytics to increase during the next year, according to a report by accounting and consulting firm Deloitte.
Here are four health systems on the verge of ending in-network agreements with payers.
Annapolis, Md.-based Anne Arundel Medical Center and Baltimore-based CareFirst BlueCross BlueShield may end their in-network agreement due to reimbursement disputes, according to a Baltimore Business Journal report.
Minnetonka Minn.-based UnitedHealth Group recorded $2.3 billion in net earnings attributable to shareholders in the second quarter of this year, compared to $1.8 billion in the same period a year prior.
Richardson-based Blue Cross and Blue Shield of Texas will take on more than 400,000 members as it replaces Minnetonka, Minn.-based UnitedHealthcare's third-party contract with Employees Retirement System of Texas, according to Houston Chronicle.
Indianapolis-based Anthem sued Insys Therapeutics in Chandler, Ariz., for allegedly issuing kickbacks to physicians prescribing its opioid painkiller and misrepresenting diagnoses to inflate reimbursement, Reuters reports.
