The following payers made headlines this past week, beginning with the most recent.
Payer
A budget passed Monday by New Jersey lawmakers includes a reserve cap for Newark-based Horizon Blue Cross Blue Shield of New Jersey, Politico reports.
Lexington, Ky.-based payer Baptist Health Plan, the managed care subsidiary of Louisville, Ky.-based Baptist Health, stopped offering fully insured health plans July 1, according to a Lexington Herald Leader report.
Asheville, N.C.-based Mission Health System plans to leave Durham-based Blue Cross and Blue Shield of North Carolina's network by Oct. 5.
Narrow-network health plans, while often lower cost, are more likely to exclude in-network access to oncologists affiliated with National Cancer Institute-designated cancer centers, according to a study published in the Journal of Clinical Oncology.
Rochester, Minn.-based Mayo Clinic Health System's insurance plan, Health Tradition Health Plan, will stop offering individual policies in Wisconsin in 2018, according to the Lacrosse Tribune.
Kentucky Gov. Matt Bevin (R) submitted an amended plan to impose stricter work requirements than initially requested for Medicaid recipients, according to The Hill.
Four hospitals recently acquired by Harrisburg, Pa.-based PinnacleHealth from Franklin, Tenn.-based Community Heath Systems will stay in Capital BlueCross' provider network.
St. Louis-based Centene Corp. will sell health plans on Missouri's ACA exchange next year, covering counties that previously had no participating insurers.
CMS on June 30 released its report on the ACA's reinsurance and risk adjustment programs for the 2016 plan year.
