Author: Rylee Wilson

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. 

Medicare Advantage and traditional Medicare can differ on clinical quality and costs, but most enrollees are equally satisfied with their coverage, studies published in the last few months have found. 

The Cigna Group reported $1.3 billion in profit in the first quarter of 2023 and named new executives and board members. 

Some Medicare beneficiaries received dozens of at-home COVID-19 tests they did not request as fraudsters rushed to exploit government coverage of the tests before the public health emergency expired, KFF Health News and NPR reported May 18. 

Lawmakers are seeking more information about claims denials from the largest Medicare Advantage insurers. 

Payers are expecting big gains in Medicare Advantage enrollment in 2023 as the program now represents more than half of Medicare beneficiaries. 

Blue Cross of Idaho has named Paul Zurlo as the company's next president and chief executive officer. 

Humana will contract with two durable medical equipment companies to provide medical devices to its Medicare Advantage members. 

Aetna, UnitedHealthcare and two other insurance companies will pay a combined $4.6 million to New York state to settle allegations the companies charged unapproved rates for student insurance. 

Prominent insurtech companies — Bright Health Group, Clover Health and Oscar Health — posted a combined $281.7 million in losses in the first quarter of 2023.