Category: Payer Issues

GS Labs is responding to a July 2021 lawsuit from Blue Cross and Blue Shield of Kansas City with a counterclaim that alleges the payer violated federal antitrust laws and conspired with other affiliated companies to withhold payments. 

Virtual care isn’t just seeing an increase in patient volume amid the COVID-19 pandemic, but also an increase in patient savings, according to a Cigna analysis shared with Becker’s. 

UnitedHealth Group may be slated to give more attention to home-based care, company executives said during a Jan. 19 earnings call. 

Six of the nation’s 13 largest payers currently offer direct coverage for at-home COVID-19 tests, according to a Jan. 20 Kaiser Family Foundation study. 

The prices commercial insurers pay to providers continues to grow higher than the price set by Medicare’s fee for service program, according to a report from the Congressional Budget Office. 

More than 120 organizations — including payers, businesses and advocacy groups — have signed on to a coalition that opposes proposals that would enact and fund a single-payer healthcare system in California. 

Gail Boudreaux, Anthem CEO and president, was awarded the National Collegiate Athletic Association’s highest individual honor: the Theodore Roosevelt Award. 

Humana subsidiary CenterWell Senior Primary Care, the largest senior-oriented primary care provider in the nation, is expanding its reach to 12 states. 

From growing to become the largest Blue Cross Blue Shield affiliate to its varied history of acquisitions, here are 20 things to know about Anthem. 

Following CMS’s preliminary decision to limit the coverage of Biogen’s Alzehimer’s disease treatment Aduhelm, advocates are calling on the agency to broaden its coverage or risk the future of similar drugs, according to a Jan. 17 Politico report.