Advertisement

Payer

In an unprecedented move, North Carolina Insurance Commissioner Wayne Goodman said Wednesday he plans to issue a multi-million dollar fine against Blue Cross and Blue Shield of North Carolina for technology issues that have affected coverage, billing and payments for…

Louisville, Ky.-based Humana might be following in the footsteps of other top insurers as it considers exiting the Affordable Care Act exchanges in some states in 2017, according to Reuters.

Advertisement

Covered California, the state's Affordable Care Act health insurance marketplace, successfully held down premium costs in part because of its authority to select health insurers, a new study suggests.

Tampa, Fla.-based insurer WellCare reported better-than-expected financial results for the first quarter of 2016, aided by a 1.2 percent increase in Medicaid enrollments, reports Reuters.

The reign of the traditional health insurer is largely past. Payers and providers must build relationships based on trust, transparency and equity to survive market uncertainty moving forward.

Advertisement