Payer

Blue Cross Blue Shield of Massachusetts boasts one of the highest-quality health plans in the nation, beating out more than 1,000 other products across every insurance market.

Subsidiaries of Aetna and Humana received millions in Medicare Advantage overpayments in 2017 and 2018, the HHS Office of Inspector General alleged in audits published Sept. 25. 

Startup Medicare Advantage plan Zing Health has raised $140 million in funding. 

Centivo, a Buffalo, N.Y.-based health plan administrator for self-insured employers, has secured $75 million in equity and debt financing.

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

Throughout October, we’ll see splashes of pink all around us. Professional athletes will don pink socks and pink ribbons will line streets during neighborhood 5Ks. 

Of the 1,019 health plans rated by the NCQA in 2024, 13 received a rating of 2 stars or lower. 

Insurers, health systems, state health plans and self-funded employers are all grappling with how to cover the high cost of GLP-1 medications, with some large organizations limiting coverage or dropping benefits entirely in 2024.

With Medicaid redeterminations complete in most states, Medicaid enrollment has decreased by 14.3% from March 2023, according to KFF. 

CVS Health's board of directors approved a $0.665 per-share dividend to be paid Nov. 1.