Author: Jakob Emerson

Cigna Healthcare is pushing back on reporting from ProPublica and a lawsuit in California that accuse the payer of denying large batches of members' claims without individual review, thereby denying them coverage for certain services.

Blue Shield of California and Microsoft are partnering on a cloud ecosystem that will integrate disparate sources of member data in a consolidated, near-real-time format.

As climate change increasingly threatens the nation's healthcare infrastructure and members' health outcomes, the adoption of more virtual care models is needed to build climate resilience and reduce carbon emissions in healthcare, according to a July whitepaper from Blue Shield…

Morgan Stanley analysts predict the weight loss drug market will hit $77 billion by 2030, MarketScreener reported July 21.

WPS Health Insurance has named Nicole Oishi as vice president of execution and service delivery.  

Most states oversee payers' requests for higher premium rates from members, and some states have additional oversight requirements, including oversight around the financial impact of payer-provider contract negotiations, according to a July 21 analysis from the National Conference of State…

Though federal price transparency requirements for payers have been in effect since July 2022, several states moved faster to enact their own requirements and add additional regulations, according to a July 21 analysis from the National Conference of State Legislatures.

The University of Texas System is planning to drop coverage for weight loss drugs such as Wegovy under its employee and retiree health plans, citing high costs and low adherence rates.

Two Cigna members have filed a class-action complaint against their insurer for allegedly denying large batches of members' claims without individual review, thereby denying them coverage for certain services.

Priority Health has named Rick Abbott as senior vice president of employer solutions, effective July 31.