Author: Rylee Wilson

UnitedHealthcare says it did not breach its contract with Greenville, S.C.-based Prisma Health, and said the health system "coordinated a media effort to put pressure" on the insurance giant. 

Blue Shield of California CEO Paul Markovich won't be surprised if other payers ditch traditional pharmacy benefit managers for a new model. 

Centene has moved to divest its overseas businesses and lost out on contract decisions in recent weeks. 

Centene is planning to sell its Operose clinics in the U.K., its last remaining business in the country, the Financial Times reported Aug. 30. 

Wegovy, Novo Nordisk's expensive weight loss drug, could reduce the risk of cardiovascular events — but at a steep cost to insurers, Bloomberg reported Aug. 31. 

CMS is urging states to correct an issue that could result in eligible people being removed from Medicaid. 

More than 5 million people have been disenrolled during the Medicaid redeterminations process. In some states, Medicaid recipients have filed legal challenges to the process, and whistleblowers are raising alarms. 

Inland Empire Health Plan has named Supriya Sood as chief people officer. 

Wellcare, Centene's Medicare Advantage business, is partnering with the American Legion on Medicare Advantage plans designed to complement benefits veterans receive through the VA. 

CenterWell, Humana's older-adult focused primary care business, is expanding to in-home primary care.