Category: Payer Issues

From Optum investing in genomic sequencing to UnitedHealthcare broadening its vision benefits with laptop discounts, here are five recent payer partnerships and expansions. 

David Cordani, CEO of Cigna, defended the role of pharmacy benefit managers, arguing that the traditional PBM is a relic of yesterday, reported Yahoo Finance Jan. 12. 

ACA open enrollment numbers are continuing to set records, but as the Jan. 15 signup deadline nears, the influx of workers leaving their jobs are pushing enrollment to new highs, according to a report from CBS affiliate KLAS. 

Under a time crunch, payers are bracing for a messy rollout of a new federal rule requiring insurers to cover at-home COVID-19 tests, The New York Times reported Jan. 14. 

From its roots as one of the country’s oldest insurers to its leading efforts in the pharmacy benefit management space, here are 20 things to know about Cigna. 

Ten providers — including U.S. Anesthesia Partners, St. Luke’s University Health network and Children’s Wisconsin — recently posted job listings seeking leaders to help payer contracting and relations. 

From Anthem’s effort to overturn a court order affecting 400,000 patients to Blue Cross Blue Shield of Tennessee being sued over firing an unvaccinated employee, here are seven recent legal disputes and settlements, as reported by Becker’s.

California is the latest state to sue The Aliera Companies and its owners, the Moses family, alleging they denied members’ medical claims through cost-sharing ministries while pocketing the majority of their premiums, according to a Jan. 12 lawsuit. 

In 37 states, 10 percent or more of workers’ median income goes toward health insurance premiums and deductibles, a Jan. 12 analysis by the Commonwealth Fund found.

Six payers were recognized by nonprofit JUST Capital for their commitment to stakeholder responsibility, with three ranking among the top 100 U.S. companies.