Author: Rylee Wilson

Provider groups are applauding CMS' proposed rule overhauling prior authorization in Medicare Advantage. 

Anthem Blue Cross Blue Shield and the Christ Hospital, based in Cincinnati, could split if the two sides cannot reach a contract agreement by April 1. 

Medicare beneficiaries who enroll in a Medicare Advantage plan may need less retirement savings to cover their healthcare costs, an analysis published Feb. 9 by the Employee Benefits Research Institute found. 

Blue Cross and Blue Shield of Minnesota laid off around 80 employees Feb. 9, the Star Tribune reported Feb. 13. 

UnitedHealthcare added a new rewards program for members who use wearable devices, and UnitedHealth Group posted big profits and revenue in 2022. 

Centene continues to lead the industry in Medicaid managed care contracts, while Humana said it plans to pick up more state contracts this year. 

Oscar Health will provide administrative services to Miami-based Associated Medical Care, the first partnership for the company's +Oscar Campaign Builder tool.  

Payers are investing in educational programs to bolster their own workforces and train new healthcare professionals. 

Employer-sponsored plans pay much higher rates for physician-administered drugs than Medicare, a research letter published Feb. 10 in JAMA Health Forum found. 

Empire BlueCross and Ellis Medicine will split May 1 unless the two sides can agree to a new contract, the Times Union reported Feb. 10.