Payer: Page 40
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Illustration: Xavier Lalanne-Tauzia for Industry Dive
Molina closes $110M AgeWell deal
The payer will pick up 13,000 members from New York-based AgeWell who are chronically ill or disabled and covered by its long-term care services.
By Hailey Mensik • Oct. 6, 2022 -
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Providence to refund some 760 low-income patients wrongly charged for care
The refunds come after a New York Times investigation found Providence pressured qualified Medicaid patients to pay for care, even though they were entitled to free services.
By Sydney Halleman • Oct. 6, 2022 -
Explore the Trendline➔
Yujin Kim/Healthcare Dive
TrendlinePayer/provider relationships
As M&A intensifies and companies embrace more holistic and value-based care models, partnerships have become more closely intertwined.
By Healthcare Dive staff -
Julia Rendleman via Getty Images
Cigna expands MA presence by 22% for 2023
Despite previously lagging in the market, Cigna is now among the fastest-expanding MA providers, analysts said.
By Rebecca Pifer • Oct. 5, 2022 -
Medicare Advantage premiums set to drop again next year
Enrollment in the popular plans is expected to continue to grow in 2023, CMS predicts.
By Susan Kelly • Oct. 3, 2022 -
Illustration: Xavier Lalanne-Tauzia for Industry Dive
Done deal: UnitedHealth completes $13B Change Healthcare buy
To alleviate other antitrust concerns, UnitedHealth agreed to divest ClaimsXten to private equity group TPG Capital.
By Samantha Liss • Oct. 3, 2022 -
Samantha Liss/Healthcare Dive
Centene’s string of settlements: $14M deal reached in Massachusetts
The multimillion-dollar deal is the latest settlement the payer has reached over allegations it overcharged for prescription drugs and services.
By Samantha Liss • Sept. 30, 2022 -
Drew Angerer via Getty Images
DOJ silent on appeal as UnitedHealth-Change deal close looms
A closed deal would be a major setback for the DOJ, which lost another merger case this year, antitrust legal experts told Healthcare Dive.
By Samantha Liss • Updated Oct. 3, 2022 -
Almost half of Americans have inadequate healthcare coverage, survey finds
Even as the uninsured rate has dipped to a record low, having coverage is not enough to protect consumers from the high-cost of care, Commonwealth Fund researchers found.
By Hailey Mensik • Sept. 28, 2022 -
Permission granted by Biogen
Positive Alzheimer’s trial results raise hopes for other experimental drugs
Expectations are now higher for amyloid-clearing drugs after lecanemab showed it can slow the disease’s progression in a large late-stage clinical trial.
By Jonathan Gardner • Sept. 28, 2022 -
Medicare Part B premium to drop for first time in a decade, Biden says
The reduction is tied to lower-than-expected spending for the controversial Alzheimer’s drug Aduhelm.
By Susan Kelly • Sept. 28, 2022 -
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Nebraska awards Medicaid managed care contracts to 3 insurers
The health plans, selected from a field of five, will receive five-year contracts.
By Susan Kelly • Sept. 27, 2022 -
Moody’s downgrades Envision, citing high bankruptcy risk
The private equity-owned physician staffing firm faces a deteriorating operating performance that could deplete its cash by the end of 2023, the rating agency warned.
By Susan Kelly • Sept. 26, 2022 -
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DOJ’s case against UnitedHealth’s Change buy was hampered by ‘serious flaws,’ judge finds
The most serious flaws were failing to prove that UnitedHealth is likely to misuse Change Healthcare’s data to advantage the company, Judge Carl Nichols wrote.
By Samantha Liss • Sept. 23, 2022 -
Ethan Miller / Staff via Getty Images
Surprise BillingTexas Medical Association files another lawsuit over surprise billing ban
“We are, once again, asking for the law to be followed as Congress intended, and for the challenged provisions to be invalidated,” TMA’s president said.
By Shannon Muchmore • Sept. 23, 2022 -
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COVID-19 testing startup Curative pivots to health plan offering
The plan will offer $0 copays and $0 deductibles to employers in the Austin, Texas, area after a baseline health visit is conducted.
By Shannon Muchmore • Sept. 22, 2022 -
Win McNamee via Getty Images
Bipartisan Senate bill aims to boost mental health access, improve worker shortages
The legislation comes as the Biden Administration aims to tackle the country’s worsening mental health crisis, which was exacerbated by the pandemic.
By Sydney Halleman • Sept. 22, 2022 -
Samantha Liss/Healthcare Dive
Centene to pay Texas $166M in latest state settlement
Of the settlements made public, the insurer’s settlements so far total at least $462.7 million.
By Samantha Liss • Sept. 21, 2022 -
Judge denies DOJ’s move to block $13B UnitedHealth, Change deal
The judge’s ruling follows a trial in which the DOJ argued that UnitedHealth’s bid for Change would disadvantage rivals and result in higher costs, lower quality and less innovative commercial health insurance.
By Samantha Liss • Sept. 20, 2022 -
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Humana looks to buy clinics from private equity partner for up to $550M
The insurer is accelerating the expansion of its primary care chain serving Medicare patients.
By Susan Kelly • Sept. 19, 2022 -
Illustration: Yann Bastard for Industry Dive
Deep DiveHealthcare industry’s resiliency to surging inflation is poised to ebb
Healthcare costs — unlike other goods and services — haven’t experienced immediate price increases amid record inflation. That’s starting to change.
By Hailey Mensik • Sept. 15, 2022 -
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AMA joins plaintiffs in class-action lawsuit against Cigna
Jack Resneck, president of the AMA, said that the insurer is putting its “economic self-interest” ahead of physicians and patients in the Multiplan network.
By Sydney Halleman • Sept. 14, 2022 -
Alex Wong via Getty Images
First Medicaid mobile mental health service to launch in Oregon
The program supports the 988 national hotline and is part of President Joe Biden's strategy to combat the country's mental health crisis.
By Susan Kelly • Sept. 14, 2022 -
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UnitedHealthcare fires back, sues Envision for allegedly exaggerating patient claims
The insurer filed suit in the latest legal tussle between payers and physician staffing firms.
By Samantha Liss • Sept. 12, 2022 -
Bruce Bennett via Getty Images
CVS enters into 4 new states for ACA exchange plans
The insurer has been bullish on expanding its ACA footprint since 2021, when its payer business Aetna said it would return to the exchanges after exiting them in 2017.
By Rebecca Pifer • Sept. 9, 2022 -
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Envision sues UnitedHealthcare over allegedly denied ER claims
Envision CEO Jim Rechtin called UnitedHealthcare’s alleged practice “cold, callous and inhumane,” according to a statement released Friday announcing a lawsuit was filed in a Tennessee federal court.
By Samantha Liss • Sept. 9, 2022
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