Author: Jakob Emerson

Aetna will no longer require pre-approval for member's cataract surgeries starting July 1.

Molina Healthcare of New Mexico has named Carolyn Ingram as plan president.

CMS' Transparency in Coverage final rule took effect July 1, requiring payers nationwide to publish the cost of nearly every healthcare service they've negotiated with providers.

Michigan Gov. Gretchen Whitmer sent a letter to every major payer in the state June 28 to urge them to provide coverage of reproductive healthcare as much as possible.

For every dollar large employers spend on health insurance-related costs, they get back $1.47, a figure that is expected to grow in coming years, according to a new study from Avalere Health.

CareFirst BlueCross BlueShield has named Dorothea "Dori" Henderson as senior vice president and chief digital information officer.

The Association for Community Affiliated Plans has launched a new center aimed at offering resources to payers and policymakers that will support initiatives around social determinants of health and reductions in health disparities.

It may feel like the walls are closing in around the pharmacy benefit manager industry. In less than a month's time, bipartisan legislation was introduced in Congress to create more regulations around the drug middlemen, and the Federal Trade Commission…

BlueCross BlueShield of Tennessee has promoted Alicia Oliver to vice president and deputy general counsel.

About half of the 1,600 employees at Blue Cross Blue Shield of Kansas now work remote or hybrid, and the payer is expanding its presence in the Wichita market, the Wichita Business Journal reported June 29.