Today's Top 20 Payer Articles
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Humana overcharged Medicare nearly $200M, inspector general finds
Health insurer Humana failed to comply with some federal coding requirements, resulting in overpayments of $197.7 million, according to an inspector general's report released April 20. -
Cigna's Evernorth completes purchase of MDLive
Evernorth, Cigna's health services business, completed its acquisition of telehealth company MDLive April 19. -
Anthem creates AI models to expedite claims processes
Insurer Anthem is increasing its use of artificial intelligence to streamline the backend management systems of businesses, according to an article from Deloitte published in The Wall Street Journal. -
Anthem, American Cancer Society partner on health equity action
The Anthem Foundation, the philanthropic arm of Anthem, provided a $1 million grant to the American Cancer Society to "mobilize and engage Black Americans in cancer risk reduction," according to a press release. -
Health insurance execs push back against tax in Connecticut
In a letter to Connecticut Gov. Ned Lamont, payer executives argued against a bill that would impose a $50 million tax on insurance companies, potentially driving businesses out of the state, according to the Hartford Courant. -
BCBS of Michigan fined over COVID-19 work policies
Blue Cross Blue Shield of Michigan was fined for failing to meet state COVID-19 workplace requirements, according to a recent penalty notification. -
Biden administration revokes billions in Texas Medicaid funding
CMS rescinded approval for a waiver that would have extended reimbursement to Texas hospitals for uncompensated care for 10 years. -
3 recent partnerships between insurers, kidney care providers
Health insurers are increasingly partnering with providers to better manage services for members with kidney disease. -
Optum's growth and operations in Q1: 10 numbers to know
Optum saw its revenue and customer base grow in the first quarter of 2021 as the company continues to expand. -
Blue Shield of California adds 2 options for members with diabetes
Blue Shield of California is adding two new features to its digital health platform that are geared toward members living with Type 2 diabetes. -
Cigna launches COVID-19 vaccine transportation for Medicare Advantage members
Cigna is providing transportation for Medicare Advantage members to and from COVID vaccination sites. -
Avalere founder to head up JPMorgan healthcare innovation
Dan Mendelson, founder and former CEO of Avalere Health, will lead a new healthcare innovation group at JPMorgan Chase. -
UPMC Health Plan promotes, hires 4 leaders
Pittsburgh-based UPMC Health Plan promoted two physicians and added two hires to its upper ranks this week. -
How 3 insurers rank among Forbes' top 25 businesses for COVID-19 response
Centene, Anthem and Cigna ranked among the top 25 for employer responses to the pandemic, according to Forbes. -
Oscar names president of medical group
Oscar Health announced Okiki Louis, MD, will be the president of Oscar Medical Group, effective April 26. -
9 payer exec moves
The following payer executive changes were announced in April so far. -
UnitedHealth profit nears $5B in Q1
UnitedHealth Group posted nearly $5 billion in profit for the first quarter of 2021 as its UnitedHealthcare and Optum businesses continue to grow. -
Who Leads BCBSA? 6 execs to know
Blue Cross Blue Shield Association's current team of leaders includes payer veterans and a Harvard Kennedy Fellow. -
BCBS of Rhode Island partners with AI company to identify chronic conditions
Blue Cross & Blue Shield of Rhode Island partnered with Diagnostic Robotics to assist in identifying risks for chronic conditions in its members to curb unnecessary hospitalizations. -
Allina, HealthPartners launch 5-year value-based agreement
Minneapolis-based Allina Health and Bloomington, Minn.-based HealthPartners struck a five-year agreement that ties reimbursement to care outcomes.