Payer

CMS is telling individuals with subsidized marketplace health plans who are nearing Medicare eligibility age and individuals simultaneously enrolled in Medicare and marketplace coverage that they should abandon their marketplace plans, Kaiser Health News reports.

Lawmakers in Minnesota called for a special Nov. 9 session to discuss the state's health insurance market, which is poised to offer fewer health plans and see high premium increases next year, Daily Globe reports.

Denver-based customer service software Welltok partnered with Pittsburgh-based payer Highmark to enhance healthcare for Highmark's Medicare Advantage Passport program members. 

Each year, beneficiaries can enroll in Medicare health and prescription drug plans from Oct. 15 through Dec. 7.

Here are 16 contract resolutions and dissolutions that occurred between payers and providers in the past month, beginning with the most recent.

Nashville, Tenn.-based Vanderbilt University Medical Center will no longer be in network with individual health plans sold through the Affordable Care Act marketplace next year, Washington Examiner reports.

Pittsburgh-based Highmark has individually partnered with Conemaugh Health System in Johnstown, Pa., and Lehigh Valley Health Network in Allentown, Pa., to collaboratively develop health plans designed to lower patients' out-of-pocket costs, reports Pittsburgh Post-Gazette.

Baptist Health Plan officials said the insurer was forced to exit Kentucky's insurance exchange because it attracted too many health customers, reports Insider Louisville.

Shares of Humana fell 5 percent Wednesday after CMS downgraded the percent of Humana policyholders enrolled in so-called high quality Medicare Advantage plans.

Payer Aetna and Hackensack, N.J.-based Regional Cancer Care Associates will collaborate for an oncology medical home to enhance cancer patient care.