Author: Rylee Wilson

Nine state Medicaid programs currently cover Wegovy, Novo Nordisk's high-priced weight loss drug, Bloomberg Law reported July 26. 

Aetna, Inland Empire Health Plan and Health Net will expand their reach on Covered California, the state's ACA exchange, in 2023. 

Better data sharing practices can improve value-based care arrangements, according to a new report from AHIP, the American Medical Association and the National Association of Accountable Care Organizations. 

Aetna has been involved in a series of legal challenges and garnered workforce awards in recent weeks. 

Virginia made capitation payments for thousands of Medicaid enrollees after their deaths, an audit from HHS' Office of Inspector General found. 

The White House is proposing stronger standards for insurers' coverage of mental health services. 

California will use an $82.5 million investment to eliminate deductibles and reduce copays for some of its Covered California plans. 

Recent studies have uncovered differences between networks, beneficiary characteristics and medications prescribed in Medicare Advantage and fee-for-service Medicare. 

Common misconceptions about prior authorizations include how they are decided and their purpose, payer executives told Becker's.  

Short-term insurance plans can be valuable for those comfortable with high-deductibles in need of basic coverage, Victoria Eardley wrote in a July 21 opinion for The Wall Street Journal.