Author: Jakob Emerson

Payers have been subject to price transparency regulations since July 2022, but no comprehensive action or research has taken place since then to assess compliance, according to research published Sept. 19 in Health Affairs.

New Mexico's superintendent of insurance has ordered payers operating in the state to expand access to behavioral health services, the Albuquerque Journal reported Sept. 19.

CMS is auditing Texas HHS to ensure the state is complying with federal requirements amid the Medicaid redeterminations process, the Austin American-Statesman reported Sept. 20.

Editor's note: This article and its headline were updated Oct. 4 to reflect the fact that HCA and Cigna Healthcare came to a contract agreement that allows Cigna employer-sponsored and Medicare Advantage plan members to access all HCA facilities in…

There's a lack of commercial coverage for digital healthcare services compared to publicly-funded health plans, which is limiting access to care for more than half of the U.S. population, according to new research published by the AMA on Sept. 19.

Updated COVID-19 boosters have started rolling out to pharmacies nationwide, but some individuals are reporting a high price tag associated with getting a shot.

Elevance Health's pharmacy benefit manager, CarelonRx, is launching a new integrated cost savings program to automatically offer members the lowest price for generic prescription drugs while at their preferred pharmacy.

Magellan Health, a subsidiary of Centene, has named Arthur Hennig as senior vice president and chief business officer for payer markets and Sara Pierce as senior vice president and chief business officer for the employer market.

Aetna has filed to offer individual health plans on the Maryland ACA exchange in 2024.

From several new Blue Cross Blue Shield CEOs to a shakeup at Optum, these are 18 payer CEO moves reported by Becker's since Jan. 1: