Fee-for-service Medicare members spend about 7 percent more on average for healthcare compared to Medicare Advantage members, according to a study published Sept. 21 by AHIP.
Author: Jakob Emerson
Aetna considers Aduhelm to be medically necessary and said Sept. 13 it will cover the controversial Alzheimer's drug if certain criteria are met.
Medicare Advantage enrollment has grown for nearly every major payer in the first half of this year, with continued expansions planned for 2023:
Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the…
From an impending expired contract between BCBS and Texas Health Resources to Penn State swapping Aetna for Highmark to administer employee benefits, these are five recent payer-provider contract breaks:
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Medical associations nationwide have condemned a federal judge's move to clear UnitedHealth Group's acquisition of Change Healthcare for $7.8 billion following a challenge from the Justice Department.
UnitedHealth Group has named Sandeep Dadlani executive vice president and chief digital and technology officer at Optum.
Blue Cross and Blue Shield of Texas and Farmers Branch-based Southwestern Health Resources will have no in-network contract with each other after Oct. 3 without a new agreement, WFAA reported Sept. 20.
Most of the nation's largest health payers have a single CEO at the helm and operate under one name across many states. In contrast, Blue Cross and Blue Shield payers function as smaller, independent companies, though they are often the…
From new headquarters to committing to permanent remote work, these are seven recent payer workforce stories reported by Becker's since Aug. 31: