Author: Rylee Wilson

Individuals who are dually eligible for Medicare and Medicaid had lower scores on many clinical care measures than their counterparts only eligible for Medicare, a report from CMS found. 

More than 30 payer CEOs direct AHIP, the trade association representing the health insurance industry. 

Minnesota is moving forward with a plan to establish a public health insurance option in the state by 2027. 

CMS is proposing a new rule for drug manufacturers, pharmaceutical benefit managers and managed care plans to increase drug price transparency in Medicaid. 

There is plenty of payer price transparency data available online, and many companies have posted complete, accessible data, according to Turquoise Health's first-quarter price transparency report. 

Centene topped the list of six major payers for Medicaid membership and growth in the first quarter of 2023. 

Georgia has named Cheryl Gardner as the director of the state's newly-created ACA exchange, Georgia Access. 

Cigna had the largest growth in commercial membership in the first quarter of 2023, while Elevance Health had the largest total commercial member base. 

California Gov. Gavin Newsom is proposing upping Medicaid reimbursement rates for certain providers. 

Several Blue Cross Blue Shield companies operated on thinner margins in 2022 than in previous years, as the waning COVID-19 pandemic drove up medical utilization and costs.