Category: Payer Issues

Centene names Magellan exec as chief transformation officer

Centene has appointed Jim Murray as its chief transformation officer to lead both the payer’s new Value Creation Office and its advanced behavioral health division.

Humana indefinitely delays in-person return to offices, instates booster requirement

Humana is indefinitely postponing a return to in-person work for employees around the country as the number of COVID-19 cases continues to rise, a spokesperson told Becker’s. 

Class-action lawsuit accuses Anthem of denying employees overtime

Two Anthem employees filed a class-action lawsuit Jan. 3 alleging that the insurer refused to pay enrollment employees overtime compensation despite being required to work more than 40 hours during a week to meet quotas. 

World’s largest insurance companies: 4 US health plans make the cut

Four U.S. health insurers were listed among the top 10 insurance companies in the world by net premiums written, according to a Jan. 4 AM Best report. 

UnitedHealthcare assures no changes to ER coverage policy in 2022

UnitedHealthcare will not enact a controversial policy regarding emergency care coverage in 2022, according to a Dec. 30 letter CEO Brian Thompson wrote to the American Hospital Association.

Louisiana Medicaid expansion led to less travel time for minorities, rural residents, study finds

Louisiana’s Medicaid expansion in July 2016 is associated with reduced travel for all medical service lines and especially helped Black Medicaid enrollees in nonmetropolitan areas, a January Health Affairs study found.

Aetna in the headlines: 5 recent stories

From a former CEO moving to lead the largest hedge fund in the world to endometriosis surgeons claiming the payer is unjustly denying claims, here are five recent stories about Aetna, as reported by Becker’s Hospital Review:

Centene finalizes Magellan acquisition

Days after securing final regulatory approval, Centene completed its $2.2 billion acquisition of Phoenix-based behavioral health provider Magellan Health, the company announced Jan. 4. 

UnitedHealthcare nixes new coverage criteria for emergency care

UnitedHealthcare CEO Brian Thompson confirmed that the payer will not be making changes to its criteria for emergency care coverage, according to the American Hospital Association. 

Former Aetna exec named co-CEO of world’s largest hedge fund

Mark Bertolini, former CEO of Aetna, was named co-CEO of Bridgewater Associates, the largest hedge fund in the world, according to a Jan. 3 news release.