CMS is proposing a five-year experiment that would allow state Medicaid programs and Medicare Part D plans to cover GLP-1s for weight management on a voluntary basis, according to an Aug. 1 report from The Washington Post. Ozempic, Wegovy, Mounjaro…
Author: Jakob Emerson
Rushil Desai, president and CEO of Aetna Better Health of Illinois, is stepping down from his role. “The impactful public-private partnerships we’ve fostered have been instrumental in innovating solutions, expanding reach, and strengthening the overall health ecosystem in Illinois,” Mr.…
In its second quarter earnings call, Cigna Group executives detailed how the company is continuing to build its position as a key player in the high-demand GLP-1 market, using its insurance and pharmacy benefit arms to shape how the high-cost…
UnitedHealth Group has named Wayne DeVeydt as its new chief financial officer, effective Sept. 2. John Rex, who has been CFO since 2016, will become strategic advisor to CEO Stephen Hemsley on the same date. Mr. DeVeydt was most recently a…
CMS has granted a special Medicare enrollment period for individuals affected by the July contract disagreement between UnitedHealthcare Medicare Advantage and Providence, R.I.-based Brown University Health. CMS determined that the removal of the system’s hospitals from UnitedHealth’s MA network was…
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With second quarter earnings now reported, health insurers are navigating elevated medical cost trends that are hurting their profit margins, driven by increased member utilization of specialty drugs, behavioral health, and emergency services. In their calls with investors, executives specifically…
As people’s health needs become more complicated, they’re looking for more support from those who help them stay healthy. What they want most is a trusted partner to guide them through the often-confusing healthcare system and make it easier to…
Almost 39 million people were enrolled in HSA-eligible health plans in 2024, according to a July report from AHIP. The report findings are based on survey responses from 20 health plans offering employer-sponsored insurance and individual ACA coverage, collectively representing…
Alignment Healthcare posted its first quarterly profit and raised its full-year membership, revenue, adjusted profit and adjusted EBITDA outlooks in its second quarter earnings published July 30. “Our strong Q2 performance proves two things: one that there is a model…
Editor’s note: BCBS Arizona and HonorHealth reached an agreement on July 31. Original article: Blue Cross Blue Shield of Arizona and Scottsdale-based HonorHealth will go out of network on Aug. 1 without a new contract in place. The contract is…