Today's Top 20 Payer Articles
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Centene to reduce workforce by 3,000
Centene is restructuring its organization, a change that will eliminate thousands of jobs, CEO Michael Neidorff told investors during a Feb. 9 call. -
Centene loses $12M in Q4: 4 things to know
Centene ended the fourth quarter of 2020 with a $12 million loss, according to recent financial statements. -
3 things to know about Oscar's IPO
Oscar Health officially filed for an initial public offering Feb. 5. -
Outgoing UnitedHealth CEO to get pay for 2 years
David Wichmann, the outgoing CEO of UnitedHealth Group, will receive pay for two years after his departure, according to a Feb. 2 filing with the Securities and Exchange Commission. -
4 insurers picked to manage Medicaid in Oklahoma
Oklahoma selected four health insurers to manage its Medicaid program, called SoonerSelect. -
7 recent payer-provider contract agreements, conflicts
Here are seven recent contract agreements or conflicts between payers, providers and employers: -
Humana, Roche settle false claims lawsuit for $12.5M
Humana and Roche agreed to settle a lawsuit that accused the companies of submitting false claims to Medicare. -
New UnitedHealthcare policies change coverage for lab tests, specialty drugs. Hospitals want CMS to review them
The American Hospital Association urged CMS to review new policy changes from UnitedHealthcare for diagnostic and specialty pharmacy services that the insurer says are needed to lower medical costs. -
Cigna posts $4.1B profit in Q4: 3 things to know
Cigna's revenues and profits grew in the fourth quarter of 2020, but the insurer also saw increased costs related to the COVID-19 pandemic. -
Banner, Aetna strike long-term agreement for joint venture
Phoenix-based Banner Health and Aetna agreed to a long-term extension of their joint venture partnership, the organizations said Feb. 3. -
Higher Medicare Advantage star ratings linked with better patient outcomes, study finds
Medicare Advantage plans with higher star ratings are associated with improved patient outcomes, according to a study published in Health Affairs. -
Prior authorization for imaging expedited under payer-provider partnership, study finds
Prior authorization for advanced imaging requests was expedited when a health system used a clinical decision support tool in partnership with a commercial payer, according to a study published in the Journal of the American College of Radiology. -
Q&A with Amwell's CMO, Dr. Peter Antall
Peter Antall, MD, chief medical officer for Amwell, talks about Virtual Primary Care (VPC) and why health plans and employers should be thinking about it. -
UnitedHealth Group names Andrew Witty CEO
Sir Andrew Witty is the new CEO of UnitedHealth Group. He succeeds David Wichmann, who is retiring, the healthcare company said Feb. 4. -
Humana loses $274M in Q4: 4 things to know
Humana recorded a net loss in the fourth quarter of 2020, according to financial documents. -
Humana to join Cigna's GPO
Humana will join a group purchasing organization operated by Cigna, according to Bloomberg. -
Humana partners with in-home provider to lower hospital visits
Humana partnered with DispatchHealth, a provider of in-home medical care, to offer Humana members access to 24/7 medical care outside of the hospital, according to a Feb. 1 news release. -
Anthem to acquire Puerto Rico's largest Medicare Advantage plan
Anthem entered into an agreement with InnovaCare Health to buy its Puerto Rico-based Medicare Advantage and Medicaid subsidiaries, according to a Feb. 2 news release. -
31 payer exec moves in January
The following payer executive changes were announced in January. -
Cigna ends prior authorization for some CT exams
Cigna will no longer require prior authorization for some CT scans of the heart, according to an updated precertification list. The change is effective Feb. 1.