GoodRx is moving into the employer benefits market with a new program that lets companies subsidize discounted cash prices on brand-name drugs for their employees. The program, GoodRx Employer Direct, launched earlier this year with grocery chain Hy-Vee as one…
Author: Jakob Emerson
The Alabama Senate has passed legislation that would impose new requirements on insurers that use AI to make prior authorization decisions, including a mandate that any decision to deny a request must be made by a physician or other qualified…
Geisinger Health Plan has named Jeremy Gaskill as its new president and executive vice president of insurance operations for the Danville, Pa.-based health system. Mr. Gaskill previously spent more than two decades at Humana, where he most recently served as…
Oakland, Calif.-based Kaiser Permanente is suing nine liability insurers for breach of contract, alleging they have refused to cover any portion of its $556 million settlement with the federal government resolving False Claims Act allegations tied to Medicare Advantage billing…
Editor’s note: The bill was held without a committee vote on Feb. 23. It is not expected to advance this session. Original article: Arizona providers could face license suspension or revocation for submitting too high of payment offers during No…
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A federal appeals court has handed a win to Cigna, affirming the dismissal of a class action lawsuit that alleged the insurer’s exclusion of weight loss drug coverage amounted to disability discrimination against members with obesity. The U.S. Court of…
The insurance industry has shed more than 54,000 jobs since the end of 2024, according to new data from the Bureau of Labor Statistics. Three notes:
Connecticut will continue contracting with Anthem Blue Cross and Blue Shield and Quantum Health to administer the state’s employee health plan and municipal partnership plan, which together cover more than 250,000 state and municipal workers, retirees and their dependents. Under…
Connecticut enrolled a record 157,246 residents in marketplace plans for 2026, a 4% increase over last year, even as national ACA enrollment fell by more than 1 million people. The state’s marketplace, Access Health CT, announced the results Feb. 19.…
Elevance Health has named new presidents for its Anthem Blue Cross and Blue Shield plans in Indiana and Georgia. Amanda Free will lead Anthem BCBS of Georgia after most recently serving as vice president of local operations for the plan’s…