Author: Jakob Emerson

Genetic testing, specialty drugs and high-tech imaging are some of the most common treatments that require prior authorization, according to a Nov. 14 survey from AHIP.

Medicare Advantage premiums have risen for the first time in four years, and less enrollees are choosing $0 premium plans, according to a new report from online insurance marketplace eHealth.

From CVS Health and Centene to several BCBS affiliates, this is where eight payer venture arms have recently invested:

Payers, along with healthcare organizations in general, should refrain from using complicated industry-speak in communications with members because it creates confusion and inequities, according to Independence Blue Cross' communications standards lead, Matthew Jakubowski.

Highmark Blue Cross Blue Shield of Western New York and Buffalo-based Kaleida Health have signed a long-term agreement to allow Highmark’s members to have in-network access to Kaleida's facilities.

Highmark Blue Cross Blue Shield West Virginia has named Jason Landers as president of its West Virginia Medicaid business, Highmark Health Options.

From BCBS Massachusetts to UnitedHealthcare's California market, these are 20 payer CEO moves recently reported by Becker's:

From Aetna to Blue Shield of California, these are seven payer CFO moves recently reported by Becker's:

Aetna, UnitedHealthcare and BCBS Texas have all finalized network provider agreements with health systems since Oct. 31:

UnitedHealthcare and Raleigh, N.C.-based WakeMed have signed a multi-year contract that restores in-network access for thousands of patients.