Behind Centene’s leadership overhaul is alleged pressure from the payer’s $900 million financial backer, Politan Capital Management, which is led by activist investor Quentin Koffey.
Category: Payer Issues
Record-setting 13.6 million people will be covered by ACA plans
With a month remaining until enrollment closes, HHS announced that a record-setting 13.6 million Americans will receive health insurance coverage in 2022 through the ACA marketplaces.
20 things to know about UnitedHealth Group
From providing health coverage for 48.4 million people as the largest payer in the country to reaching 127 million individuals through health services and provider solutions, here are 20 things to know about UnitedHealth Group.
Feds approve plan to overhaul Arkansas Medicaid expansion
Arkansas Gov. Asa Hutchinson received federal approval to begin its Medicaid expansion redesign, dubbed ARHOME.
20 things to know about Centene
Here are 20 things to know about Centene, the largest Medicaid managed care organization in the country.
5 recent payer disputes, resolutions
A New York judge ruled on the future of New York City’s controversial retiree Medicare contract after its rollout was put in limbo. At the same time, payers are working to lock in network contracts for the new year.
10 insurers that paid the most in 2020 medical loss ratio rebates
Health Care Service Corporation’s Texas arm paid the most out of any insurer in medical loss ratio rebates for the 2020 reporting year at nearly $199 million, according to data from CMS.
Payers issued $2B in 2020 premium rebates, CMS finds
Payers have provided about 9.8 million members with nearly $2 billion in premium rebates for the 2020 coverage year, according to CMS.
Fitch: No Surprises Act to be credit neutral for payers, impactful for members
Read the full post on Becker's Hospital Review – Healthcare News
Auditors flag improper billing at Oregon Health Plan
Read the full post on Becker's Hospital Review – Healthcare News
