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- Feed Preview Payer Issues
Kaiser extends coverage for larger employers across all of Colorado
Oakland, Calif-based Kaiser Permanente is expanding its insurance plans across all of Colorado, moving away from just its current urban focus in the state, according to an Aug. 22 Denver Business...
Better outcomes, lower costs: How improving members' sleep benefits everyone
Unhealthy sleep patterns can negatively impact people's health and are associated with many health conditions and risk behaviors, from cardiovascular disease to car crashes.
Managed Health partners with ADP on new health plan
Health insurance company Managed Health is partnering with human resources software company ADP to offer companies the Managed Health Champ plan.
CalOptima partners with care management company
Health insurance plan CalOptima Health is partnering with population health management company ZeOmega.
True Captive partners with Walmart Virtual Care for employee health plan
True Captive Insurance is partnering with Walmart Health Virtual Care to launch myTrueMD, a new virtual-first insurance plan for employers.
Health Insurance Companies Think They’re Differentiating in 2022 … But Are They?
It’s no secret that the HR function has become more complex in recent years. Thanks to policy changes in State Paid Sick Leave, the Affordable Care Act, demands brought forth by the #MeToo move...
Georgia bill seeks to impose spending threshold on managed care organizations
A bipartisan bill in Georgia's House of Representatives would require managed care organizations to reimburse the state if they spent too little on medical care or quality improvements, according...
10 providers seeking payer contracting talent
Ten providers — including Lumeris, Wellpath and St. Luke's University Health Network — recently posted job listings seeking leaders to help payer contracting and relations.
CMS invests $49M to increase insurance among children, parents, pregnant people
CMS is earmarking $49.4 million to reduce the number of uninsured children, parents and pregnant people across the country.
Employers say health plans may be key to surviving labor shortages
Small businesses aren't just bumping up wages to attract employees amid labor shortages — they are also doubling-down on strong health insurance benefits, according to a Jan. 27 Bloomberg repo...
21 payers named best places to work for LGBTQ+ equality
Twenty-one payers were recognized by the Human Rights Campaign Foundation as some of the best places to work for LGBTQ+ equality.
10 recent payer exec moves
From the Blue Cross Blue Shield Association finding its top-level information security officer to Colorado Access making history with its new president and CEO — the first woman and person of c...
https://www.beckershospitalreview.com/payer-issues/10-recent-payer-exec-moves-2.html
Record 14.5 million Americans signed up for health insurance under ACA
A record-setting 14.5 million Americans signed up for health coverage since open enrollment began Nov. 1.
Cigna discussed potential acquisition with Centene in late 2021
Cigna discussed a potential acquisition of Centene in the final months of 2021, but nothing has come of the preliminary conversations, according to a Jan. 26 Bloomberg report.
Anthem in headlines: 5 stories
From a 2021 earnings report with mixed takeaways to leadership earning one of the National Collegiate Athletic Association's highest honors, here are five recent headlines involving Anthem:
https://www.beckershospitalreview.com/payer-issues/anthem-in-headlines-5-stories.html
Indiana Senate advances bill to slash prior authorization turnaround, increase price transparency
Indiana lawmakers are pushing forward a bill that aims to increase payer price transparency and cut down prior authorization turnaround time, according to the Indianapolis Business Journal .
AHIP amicus brief backs HHS in No Surprises Act lawsuit
America's Health Insurance Plans filed an amicus curiae brief in support of HHS in an ongoing lawsuit from the Association of Air Medical Services, a trade association representing air ambulanc...
2 insurers withdraw appeal over North Carolina Medicaid contract award
Two North Carolina payers — Aetna Better Health Care and My Health by Health Providers of Morrisville — are stepping away from the table after suing the state's health and human services depa...
Callers pretend to be SSM Health in latest insurance scam
St. Louis-based SSM Health and Dean Health Plan are warning patients of efforts to trick people into signing up for scam insurance by pretending to be an SSM Health representative, according to N...
Biden administration seeks Medicare coverage of at-home COVID-19 tests
President Joe Biden is exploring requiring coverage of at-home COVID-19 tests for Medicare beneficiaries in addition to private commercial members, according to a Jan. 26 report from The Wall Str...