Payer

On April 1, 2016, the Centers for Medicare and Medicaid Services (CMS) launched the Comprehensive Care for Joint Replacement (CJR) Program.

House Republicans recently unveiled guidelines for their ACA replacement plan via a policy brief. One Republican idea for lowering monthly health insurance premiums for the individuals who must purchase insurance on their own is to reinstate state-based high-risk pools, according…

The Arkansas Center for Health Improvement found health plans for public school and state employees spent, on average, 31 percent more covering obese policyholders or their spouses as opposed to other policyholders in 2015, according to an ArkansasOnline report.

Two lawmakers from California proposed legislation Friday calling for a universal healthcare system to cover the state's 38 million residents, according to a Santa Cruz Sentinel report.

Massachusetts-based Harvard Pilgrim Health Care will provide physicians point-of-care health analytics through Quest Diagnostics and Inovalon in an effort to close care gaps and improve health outcomes for patients.

Omaha-based Blue Cross and Blue Shield of Nebraska re-elected four members to its board of directors, the Omaha-World Herald reports.

Wheeling, W. Va.-based The Health Plan is outgrowing its headquarters, which is still under construction, the payer's CEO told the Herald Star.

Indianapolis-based Anthem and Bloomfield, Conn.-based Cigna accused each other of sabotage in recent lawsuits filed after a U.S. District Court blocked their proposed $54 billion merger Feb. 8, according to a Bloomberg report.

Former Aetna CEO Ronald Williams said the ACA's risk pool equation is "flawed," and the next wave of healthcare reform needs to strike a balance between premiums collected from young individuals and the healthcare costs of older patients, CNBC reports.

Louisville, Ky.-based Humana received a one-year extension of its healthcare delivery managed care contract with the Defense Health Agency valued at an estimated $3.8 billion.