Author: Jakob Emerson

A federal judge in Connecticut has denied a class-action bid against Cigna for allegedly overcharging members for medical equipment and violating its fiduciary duties under the Employee Retirement Income Security Act.

Nearly 50,000 Medicaid enrollees in Ohio are caught in the middle of a commercial reimbursement fight between Anthem Blue Cross Blue Shield and Cincinnati-based Bon Secours Mercy Health.

Sixteen health insurers have been named among the nation's top 1,000 employers in 2023 by Newsweek.

Independence Blue Cross is partnering with financial services firm Sun Life to offer stop loss insurance to its self-funded group customers.

Lawsuits from large companies and employers are increasingly being filed against third-party health plan administrators in an effort to access complete employee medical claims data. 

Medicare Advantage company Alignment Health has named Melinda Kimbro as its new chief people officer.

Over the last two years, Priority Health's maternity management program, "PriorityMOM," has achieved a 16 percent decrease in emergency room visits for pregnant members who may experience complications pre- or post-delivery. 

There are several demographic and socioeconomic differences between individuals who select traditional Medicare coverage versus Medicare Advantage plans before they turn 65 and who have commercial insurance, according to a new study from researchers at Harvard Medical School and software…

As the number of Americans with Alzheimer's disease or related dementias continues to grow, a survey of payer executives suggests the industry is moving too slow or not at all toward better managing cognitive decline among members.

The Medicare Advantage star rating system and its quality bonus payment program is failing to achieve its two main goals of helping beneficiaries select a plan and incentivizing payers to improve plan quality, according to a new report from the…