Today's Top 20 Payer Articles
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Humana, 3,400 St. Luke's providers strike value-based agreement
St. Luke's Health Partners, a 3,400-member provider group affiliated with St. Luke's Health System in Boise, Idaho, struck a value-based payment arrangement with Humana, the organizations said Dec. 2. -
Humana picks up remaining stake in Wisconsin Medicaid plan
Humana will acquire full ownership of iCare, a Wisconsin Medicaid health plan, the insurer said Dec. 3. -
UnitedHealth, Eli Lilly partner on trial for at-home COVID-19 antibody infusions
UnitedHealth Group is working with Eli Lilly on a clinical trial that will study at-home infusions of the drugmaker's COVID-19 antibody treatment. -
Radiologists to Cigna: Revise hospital-based imaging policy to avoid harming pediatric patients
A new Cigna policy that limits coverage for hospital-based MRI and CT scans could have a "profoundly negative" effect on children and adolescents who require advanced outpatient imaging, radiologist groups wrote in a Nov. 24 letter to Cigna leaders. -
Humana, Prime West strike new agreement
Prime Accountable Care West and Humana struck a new in-network agreement, the companies said Dec. 2. -
BCBS of Texas, US Anesthesia Partners sign 4-year agreement
Blue Cross Blue Shield of Texas and U.S. Anesthesia Partners signed a long-term agreement that allows BCBSTX members to continue receiving services from the national anesthesia provider at in-network rates. -
Oscar hires Capital One CFO for same role
Oscar named R. Scott Blackley its new CFO, effective March 16. -
Sutter Health | Aetna names new CEO
Sacramento, Calif.-based Sutter Health and Aetna named Jeb Dunkelberger CEO of their Sutter Health | Aetna joint venture health plan. They announced the appointment Dec. 2. -
CMS finalizes coverage expansions for artificial hearts
CMS finalized Medicare coverage expansions Dec. 1 for artificial hearts and ventricular assist devices, which are used for patients with life-threatening heart failure. -
14 insurers extending COVID-19 cost-sharing waivers into 2021
Several commercial health insurers will waive member cost-sharing — which includes copays, deductibles and coinsurance — for COVID-19 testing and treatment into the next year. -
UnitedHealth expects $277B+ in revenue in 2021
UnitedHealth Group predicts it will record between $277 billion and $280 billion in revenue for 2021, according to an outlook released Dec. 1 ahead of the company's annual investor conference. -
10 states with the highest health insurance costs for employees
Employees in Minnesota face some of the highest annual health insurance costs in the nation, according to a ranking from Yahoo Finance. -
18 payer exec moves in November
The following payer executives changed their positions in November. -
New Jersey school board sues Horizon, says insurer threatened to stop paying claims for 14,000 workers
Horizon Blue Cross Blue Shield of New Jersey threatened to stop paying medical claims for about 14,000 employees of the Jersey City Board of Education, a lawsuit filed by the board alleges, according to NJ.com. -
Insurance manager fined $1M for selling illegal plans in Washington
Washington insurance officials fined Aliera Healthcare, an Atlanta-based healthcare company, for selling illegal health insurance, according to a Nov. 24 press release. -
UnitedHealthcare delays coding changes for lab tests
UnitedHealthcare will push back a change for coding laboratory tests until Jan. 1, 2022, a little less than a year after it was supposed to take effect. -
Cigna leadership used covert tactics to 'blow up' $48B Anthem deal, lawsuit claims
A merger between Cigna and Anthem failed because Cigna's CEO and board intentionally sabotaged the proposed $48 billion deal, according to an unsealed lawsuit filed by Cigna investors. -
BCBS of Kansas ACO lowered inpatient admissions 13%
A physician-led ACO that collaborates with Blue Cross and Blue Shield of Kansas recorded lower inpatient admissions in 2019, among other improvements in outcomes. -
UnitedHealth has new chief legal officer: 3 things to know
UnitedHealth named Matthew Friedrich its executive vice president and chief legal officer, the healthcare company said Nov. 20. -
New Jersey bill would allow Horizon BCBS to restructure
New Jersey legislators proposed a bill Nov. 19 that aims to reorganize the state's largest commercial insurer, Horizon Blue Cross Blue Shield of New Jersey, according to local radio station New Jersey 101.5.