Author: Rylee Wilson

Deductibles can deter women from seeking additional screening after abnormal findings on a mammogram, a study presented Nov. 29 at the Radiological Society of North America found. 

Many local commercial and exchange markets are largely controlled by one payer, according to the American Medical Association. 

Medicare Advantage plans have faced scrutiny for possible upcoding and pressure to update provider directories. Here are nine Medicare Advantage updates Becker's has reported since. Nov. 18. 

UnitedHealthcare and Tulsa, Okla.-based Hillcrest HealthCare System will be out of network if the two sides do not reach a contract agreement by May 1, 2023, ABC affiliate KTUL reported Dec. 5. 

Payers are investing in health equity in many ways, including improving data collection, access to virtual care and adding health equity experts to C-suites. 

Cigna will add Humira biosimilars to its pharmacy formulary, giving the new, cheaper alternative products hitting the market next year the same position as the drug. 

The HHS' Inspector General's Office released audits of nine Medicare Advantage plans over the last six months, according to the organization's semiannual report to Congress, published Dec. 5. 

Aetna and Munster, Ind.-based Community Healthcare System will go out of network if the two sides cannot reach a contract agreement by Jan. 15, Inside Indiana Business reported Dec. 5. 

Centene's philanthropic arm and the company's Texas subsidiary, Superior HealthPlan, donated $7.9 million to a new community center in Uvalde, Texas. 

Centene has finalized divestiture of pharmaceutical benefit manager, MagellanRx, to Prime Therapeutics, the company said Dec. 5.