Today's Top 20 Payer Articles
-
Anthem's profit falls 81% in Q3: 3 things to know
Anthem saw its third quarter profit significantly fall as benefit expenses and other costs grew for the health insurer. -
Centene's profit grows to $568M: 4 things to know
Centene Corp. saw its revenue and profit increase in the third quarter of 2020, thanks in part to its acquisition of WellCare Health Plans. -
COVID-19 vaccine to be covered by Medicare, Medicaid
Americans who get their health insurance through Medicare or Medicaid likely won't have to pay for a COVID-19 vaccine, according to Politico, which cites an expected rule from the Trump administration. -
UnitedHealthcare to send members kits with COVID-19 tests, Tamiflu
UnitedHealthcare is providing some of its members kits that include an antiviral treatment for the seasonal flu, as well as a COVID-19 test, according to The New York Times. -
ProMedica health plan to terminate Ohio hospital's in-network status
Toledo, Ohio-based ProMedica's Paramount health plan is planning to terminate McLaren St. Luke's Hospital in Maumee, Ohio, from its network. -
New Humana partnership aims to improve preauthorization in 12 states
Humana is partnering with digital healthcare company Cohere Health to change the prior authorization process for musculoskeletal treatment in 12 states. -
CHI St. Luke's threatens split with Molina, 2nd insurer this week
For the second time this week, Houston-based CHI St. Luke's set a deadline to cut ties with an insurance provider if negotiations fail. This time it's with Molina Healthcare. -
Michigan insurer launches virtual-first primary care plan
Priority Health, an insurer based in Grand Rapids, Mich., launched a primary care plan for members who want more online interactions with providers. -
CMS approves Nebraksa's Medicaid expansion, work requirements
CMS said Oct. 20 that it approved Nebraska's demonstration to expand Medicaid and add work requirements to the program. -
Envision, Cigna sign multiyear agreement in Florida
Nashville, Tenn.-based Envision Healthcare and Cigna reached a multiyear agreement that will allow Cigna members to continue receiving in-network access to Envision physicians. -
CMS releases premium updates for 2021 marketplace plans: 3 notes
CMS said Oct. 19 that some individuals will see lower premiums on ACA marketplace plans for the 2021 coverage year. -
CommonSpirit, BCBS of Texas split to affect thousands
An in-network contract between Chicago-based CommonSpirit Health and Blue Cross Blue Shield of Texas is set to end if the organizations don't reach a new agreement by Dec. 16, according to the Houston Chronicle. -
Highmark, Humana, Horizon's payment models generate savings: 3 results
Highmark, Humana and Horizon Blue Cross Blue Shield of New Jersey recently published positive results from their value-based reimbursement programs with providers. -
Best insurers for Medicare drug coverage, per US News
U.S. News & World Report published its annual list of the best health insurance companies offering Medicare Part D prescription drug coverage in 2021. -
What Anthem, Cigna, UnitedHealth's hospital-based imaging policies entail
Anthem, Cigna and UnitedHealthcare have issued new policies in the last few years that narrow what imaging they will cover in the hospital setting. -
15 states where largest insurer has at least 50% of market
Fifteen states in the U.S. have a health insurer that holds at least half of the commercial market, according to an analysis from the American Medical Association. -
Partial Medicaid expansion, work requirements coming to Georgia
CMS approved Georgia's plan to partially expand Medicaid and add a work requirement to the program. -
10 states with least competitive commercial insurance markets
Alabama has the most concentrated commercial health insurance market in the U.S., according to an analysis from the American Medical Association. -
US News: Best Medicare Advantage plans for 2021
U.S. News & World Report published its annual list of the best health insurance companies offering Medicare Advantage coverage in 2021. -
8 payer exec moves
The following payer executives changed their positions in October.