Today's Top 20 Payer Articles
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Humana sues Mallinckrodt over '97,500%' increase in gel price
Humana filed a lawsuit against Mallinckrodt, alleging the drugmaker partook in "one of the most outrageous price-gouging schemes in the history of American medicine." -
The rise of the payvider
The lines between payer and provider are blurring, as providers take on risk and health plans partner or acquire providers. -
Senate leader calls Centene 'callous' after meeting with insurer's CEO
A ranking member of the Senate healthcare committee called Centene Corp. "callous" in a letter to CMS officials after a meeting with the insurer's CEO, according to The Dallas Morning News. -
North Carolina treasurer: State health plan members will have in-network coverage at major hospitals
North Carolina Treasurer Dale Folwell has revealed a new combined network that will ensure members of the state's health plan have in-network coverage at major hospital systems for 2020, according to The Charlotte Observer. -
How Medicaid can save money and lives: Tennessee tries mind-body integration
Tennessee's Medicaid program has launched an effort to better integrate patients' physical and mental healthcare, with the aim of saving state and federal money and improving patient care, according to NPR. -
Highmark Health posts $629M net income, sees dip in revenue in first half of 2019
Pittsburgh-based Highmark Health posted net income of $629 million on revenues of $9.2 billion in the first half of fiscal year 2019. -
How payers can benefit from blockchain
Blockchain networks are being used within the healthcare insurance arena to improve the tracking of multiple transactions from different sources, according to The Signal. -
Minnesota insurer to cap members' insulin costs at $25 per month
Medica, a health insurer based in Minnesota, will cap the cost of insulin for its Minnesota members at $25 a month, according to TwinCities.com. -
Kansas threatens termination of Aetna's Medicaid contract
Kansas officials have notified Aetna that its Medicaid contract is in danger of being terminated for failing on the agreement, according to public radio station KCUR. -
Cigna plans major expansion of Medicare Advantage business
Cigna is planning to expand its Medicare Advantage footprint by 14 percent next year, according to Forbes. -
WellStar says Anthem Blue made false representations to customers
After months of mediation, a lawsuit filed by WellStar Health Systems against Blue Cross Blue Shield Healthcare Plan of Georgia, known as Anthem Blue, is still pending, according to the Cobb Business Journal. -
Humana secures Louisiana Medicaid contract
The Louisiana Department of Health has selected Humana as one of four Medicaid managed care organizations that it will contract with for Medicaid benefits and services. -
1 system joins North Carolina's controversial reimbursement plan in 2nd sign-up period
Only one health system — Gastonia, N.C.-based CaroMont Health — agreed to join the North Carolina State Health Plan during the second sign-up period, which ended Aug. 5, reports the Winston-Salem Journal. -
UnitedHealthcare offers free emotional support line to those affected by mass shootings
UnitedHealthcare is offering free emotional support for people affected by last weekend's mass shootings in El Paso, Texas and Dayton, Ohio. -
BCBS opens wellness center at shuttered Target store in Chicago
Blue Cross Blue Shield of Illinois is taking over a building vacated by Target on Chicago's South Side, with plans to repurpose it for offices and a community wellness center, the Chicago Tribune reports. -
AHIP CEO on 'Medicare for All': 'Great slogan, but not workable in practice'
Matt Eyles, CEO of America's Health Insurance Plans, believes "Medicare for All" proposals that would eliminate private health plans are "absolutely the wrong approach," he told the USA TODAY editorial board in an interview. -
Renown Health, Anthem agree on network deal
Reno, Nev.-based Renown Health and Anthem have reached an in-network agreement. -
Humana beefs up employee bonuses after $940M profit in Q2
Humana made $940 million in profit in the second quarter of fiscal 2019, fueling bigger bonus checks for its 50,000 employees, the Louisville Courier Journal's Grace Schneider reports. -
Vermont issues cease and desist orders against 5 unlicensed health insurance sellers
Vermont officials handed a cease and desist order to four groups and one individual selling unlicensed health insurance, according to the VTDigger. -
BCBS of Michigan hit with $40M lawsuit over provider payments
Blue Cross Blue Shield of Michigan faces a lawsuit filed on behalf of mental health and substance abuse treatment providers that accused the insurer of underpaying claims.