Humana to stay out of exchange business, AHA opposes Anthem-Cigna appeal, Affinity Health Plan appoints CEO & more — 8 payer highlights

The following payers made headlines this past week, beginning with the most recent.

1. Humana reports 3% drop in 'Unhealthy Days' under Bold Goal initiative
Louisville, Ky.-based Humana's Bold Goal project improved health in its seven target communities.

2. Affinity Health Plan taps Michael Murphy to serve as CEO
Affinity Health Plan named Michael Murphy president and CEO.

3. Redirect Health launches health plan in Arizona's Maricopa County
Scottsdale, Ariz.-based Redirect Health unveiled a healthcare plan in Arizona's Maricopa County, where several insurers pulled their individual ACA exchange plans from last year. 

4. BCBS of Alabama names COO
Birmingham-based Blue Cross and Blue Shield of Alabama appointed Tim Vines executive vice president and COO.

5. AHA urges appeals court to stand with decision to block Anthem-Cigna deal
The American Hospital Association pressed the U.S. Court of Appeals for the District of Columbia to affirm a district court's decision to halt Indianapolis-based Anthem's merger with Bloomfield, Conn.-based Cigna ahead of the insurers' appeal.

6. DOJ investigates 4 insurers following accusations of Medicare fraud
The U.S. Department of Justice will investigate four insurers after a lawsuit alleged they submitted false Medicare claims to increase risk adjustment payments and kept overpayments from CMS. 

7. Humana won't return to ACA exchanges even if they become 'very viable'
Bruce Broussard, CEO of Louisville, Ky.-based Humana, said the insurer will not reenter health insurance exchanges created under the ACA even if the individual market changes for the better under Republicans' proposed healthcare bill. 

8. Anthem CEO to Trump: ACA replacement plan needs 'enhanced' provisions to subsidies, Medicaid funding
Anthem CEO Joseph Swedish requested changes to the GOP's ACA replacement plan in a conversation with the Trump administration. 

 

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