The Justice Department is investigating whether Norfolk, Va.-based Sentara Health's insurance arm unfairly increased premiums in 2018 and 2019 as it received more than $655 million in federal subsidies, The Virginian-Pilot reported April 9.
Payer
Health insurance lags behind other industries when it comes to customers' experiences with digital platforms, according to a report from J.D. Power.
Blue Cross & Blue Shield of Rhode Island reported a $26 million operating loss in 2023, which it said reflected a "substantial surge in medical and pharmacy claims."
Bloomberg reported April 11 that UnitedHealth Group's chairman and three of the company's executives made a combined $101.5 million from stock sales made over a four-month period leading up to the public becoming aware of a Justice Department antitrust investigation.
AHIP, the American Medical Association and the National Association of ACOs have released a playbook of voluntary best practices for value-based care payment arrangements.
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Ten providers recently posted job listings seeking leaders in payer contracting and relations.
Major insurers made millions in fees by using MultiPlan, a data analytics firm, to determine how much to pay providers for out-of-network claims, according to an investigation from The New York Times.
From Point32Health announcing home health prior authorization cuts to a state's proposed gold carding program legislation failing, here are seven updates on prior authorization that Becker's has reported since March 21.
For the second time in just shy of a year, Clover Health is facing a possible Nasdaq delisting.
CVS CEO Karen Lynch was paid $21.6 million in total compensation in 2023, according to a regulatory filing published April 5.