State officials said they will monitor Anthem Blue Cross Blue Shield of Georgia's policy to no longer cover emergency department services it deems unnecessary for members with individual plans, according to WABE.
Payer
Healthcare industry trends such as growth in data analytics and high-deductible health plans are causing payer and provider relationships to evolve.
Wilmington-based Highmark Blue Cross Blue Shield of Delaware requested an average 33.6 percent rate hike for individual ACA exchange plans next year, according to Smyrna-Clayton Sun-Times.
Detroit-based Blue Cross Blue Shield of Michigan wants to raise premiums for its individual ACA exchange plans 26.9 percent on average next year — a figure the payer says would increase to 31.7 percent if federal subsidies are discontinued.
The Maryland Insurance Administration approved three investors' acquisition of Baltimore-based Evergreen Health Wednesday.
The following payers made headlines this week, beginning with the most recent.
Varnville, S.C.-based Hampton Regional Medical Center inked a network contract with Minnetonka, Minn.-based UnitedHealthcare, according to a news release obtained by The Hampton County Guardian.
San Francisco-based Omada Health, a digital behavioral medicine provider, received $50 million in a recent fundraising round led by Bloomfield, Conn.-based Cigna.
Cleveland Clinic will offer a joint health plan with New York City-based Oscar Health, marking the clinic's entrance into the health insurance market and Oscar's expansion into Ohio.
St. Louis-based Centene Corp. will offer health plans on ACA exchanges in Kansas, Missouri and Nevada in 2018, and will expand its exchange presence in Florida, Georgia, Indiana, Ohio, Texas and Washington.
