Thursday, August 18, 2022: Payers

CMS announced that providers will no longer need to fill out certificates of medical necessity (CMN) and durable medical equipment information forms (DIF) starting in 2023. The agency is making the change in an effort to ease administrative burden. “Through...

Tuesday, August 16, 2022: Payers

Oscar Health announced it will expand the reach of its Cigna + Oscar small business plans into the Philadelphia metropolitan area. Pending regulatory approval, the plans will be offered in five counties – Bucks, Chester, Delaware, Montgomery, and Philadelphia –...

Friday, August 12, 2022: Payers

A survey from Willis Towers Watson found that most U.S. employers offer coverage for medically necessary and elective abortions in states where it’s allowed. Among self-insured employers, 97 percent cover medically necessary abortions and 78 percent cover...

Thursday, August 11, 2022: Payers

Blue Cross Blue Shield of Michigan (BCBSM) announced it is partnering with Maven Clinic to launch a new family building and maternity support program ahead of open enrollment. The platform will allow members to access a personalized app that guides them through the...

Wednesday, August 10, 2022: Payers

A federal judge in Alabama approved Blue Cross and Blue Shield (BCBS) companies’ $2.67 billion antitrust settlement. The ruling ends policyholders’ decadelong legal battle against 34 BCBS plans, alleging that the BCBS Association’s rules capping revenue...

Tuesday, August 9, 2022: Payers

A federal lawsuit in Texas is seeking to eliminate the preventive care of the ACA. The plaintiffs argue that the requirement is unconstitutional because some preventive health measures violate the Religious Freedom Restoration Act. According to the Urban Institute,...