New Jersey has finalized rules requiring state-regulated insurers to cap out-of-pocket costs on insulin, asthma inhalers and epinephrine auto-injectors. The state published the final regulations Dec. 1, implementing legislation Gov. Phil Murphy signed that made New Jersey the second state…
Author: Jakob Emerson
Medicare Advantage insurer Zing Health has filed a new lawsuit against HHS and CMS, alleging the agencies failed to remedy harms caused by its improper termination from the MA program last year. The insurer filed the complaint Nov. 26 in…
The 12 months since UnitedHealthcare CEO Brian Thompson was fatally shot have been among the most turbulent in UnitedHealth Group’s history. The company has cycled through senior executives, disclosed billions in unexpected medical costs, confirmed it is under criminal investigation…
Independence Blue Cross is partnering with Chubb to offer supplemental gap insurance to large employer group members that select high-deductible health plans. The Chubb GAP plan will reimburse employees up to $10,000 per individual or $20,000 per family annually for…
Seven insurers were recognized among America’s healthiest workplaces, according to an Oct. 15 ranking. Healthiest Employers recognizes the 100 healthiest workplaces in the U.S. in its annual ranking. Participating organizations complete an assessment, which is scored on a 100-point scale.…
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A federal judge has dismissed the primary claims in a lawsuit that alleged Johnson & Johnson mismanaged its employees’ prescription drug benefits, finding that the plaintiffs failed to demonstrate they suffered concrete harm. On Nov. 26, the federal court in…
Access to GLP-1 medications for weight loss through ACA marketplace plans is shrinking, according to a new analysis from healthcare advisory group Leverage|Axiaci shared with Becker’s. The analysis was conducted with funding from the Robert Wood Johnson Foundation. Leverage|Axiaci reviewed…
Pittsburgh-based UPMC reported a turnaround in operating income in the third quarter, in part due to an improved underwriting margin within the system’s health plan. UPMC posted an operating income of $45.6 million (0.5% operating margin) in the third quarter…
UnitedHealth Group is selling its last South American business, Banmedica, to Brazilian private equity firm Patria Investments for $1 billion, CNBC reported Nov. 30. Banmedica operates in Colombia and Chile and includes 1.7 million health insurance members, seven hospitals and…
UnitedHealthcare has filed a lawsuit against the director of the Idaho Department of Insurance, arguing that the state’s recent efforts to regulate Medicare Advantage plan marketing and broker commissions are in violation of the U.S. Constitution. The lawsuit, filed Nov.…