Urgent care owners, operators, physicians and staff, take note: payers across the country are increasingly requiring certification or accreditation before contracting or as a requirement to remain in-network.
Payer
Ninety percent of California health plans reviewed by the state did not accurately report which physicians were in-network in 2015, Kaiser Health News reported Monday.
Bloomfield, Conn.-based Cigna is poised to gain a $1.85 billion breakup fee after a U.S. District Court decided to block Anthem's proposed $54 billion acquisition of Cigna, according to The New York Times.
U.S. District Judge Amy Berman Jackson ruled in favor of the Justice Department and stopped Indianapolis-based Anthem's proposed $54 billion acquisition of Bloomfield, Conn.-based Cigna Wednesday.
Humana's decision to lay off roughly 500 employees struck a chord with Becker's Hospital Review payer issues readers this week.
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A study out Thursday tries to better understand the ACA's implementation and its effect on competition among health plans.
A U.S. Court of Federal Claims ruled the government must pay $214 million to Portland, Ore.-based health insurer Moda Health under the ACA's risk corridors program.
The Colorado Senate Finance Committee took the first step of shutting down the state's health insurance exchange by passing a bill that would eliminate Connect of Health Colorado, according to The Denver Post.
Minnetonka, Minn.-based UnitedHealth Group anticipates it will cover roughly 1 million fewer consumers through individual insurance plans this year due to its widespread ACA exchange withdrawal — resulting in a $4 billion loss in premium revenues, according to a filing with the…
The following payers made headlines this past week, beginning with the most recent.