Payer

CMS released a final rule Monday that includes the first major update to Medicaid managed care regulations in more than 10 years.

Despite modest differences in care between white and Hispanic Medicare Advantage enrollees in the U.S., a recent study found MA enrollees in Puerto Rico receive "substantially" worse care — so much so that the program would require major efforts to…

Kumba Health, a direct-pay health network, has launched a new membership portal that enables members to access and compare pricing information on the top providers practicing in the Los Angeles area.

As Florida Blue's provider network narrows, patients have had trouble accessing care due to inaccuracies in the insurer's online provider list posted on its website, reports WPTV.

UnitedHealthcare and New Orleans-based Ochsner Health System failed to come to a contract agreement last week regarding the payer's Compass program, the plan United offers on the Affordable Care Act exchanges, reports WWLTV.

On April 27, the California Department of Insurance plans to scrutinize the merger between Aetna and Humana, according to SFGate.com.

St. Louis, Mo.-based health insurer Centene has released its financial results for the first quarter ended March 31.

The approximately 9,000 Iowans who purchased UnitedHealth policies on the Affordable Care Act exchanges are out of luck for next year, as the Minnetonka, Minn.-based insurer will not sell policies in the state for 2017, according to The Des Moines…

There's no question about it: Insurers have been losing money on the Affordable Care Act exchanges. What will they do to overcome their losses? Some predict they'll increase their premium prices once again, according to The Hill.

Hospital Corporation of America has renewed a long-term contract with Blue Cross Blue Shield of Texas that will keep all of the Nashville, Tenn.-based hospital chain's Texas medical facilities in network, according to a Dallas Morning News report.