Editor's note: This story was updated Sept. 12 to reflect that the Arizona Health Care Cost Containment Systems upheld its original contract awards. Arizona will uphold contracts awarded to UnitedHealth and Centene to manage the state's long-term care Medicaid program.
Author: Rylee Wilson
Bonus payments to Medicare Advantage plans will decline by around 8% in 2024 compared to 2023, according to a report from KFF.
Aetna is facing a class-action lawsuit alleging the insurer improperly denied gender-affirming care.
Optum Rx will join the other major pharmacy benefit managers and exclude Humira from some formularies.
Pat Geraghty, president and CEO of Florida Blue and parent company Guidewell, will serve a second year as chair of AHIP.
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Insurers and employers are pushing back on new rules that would toughen requirements for mental health parity.
Centene expects rising Medicaid expenses to hurt its third-quarter earnings.
The four largest pharmaceutical benefit managers account for 70% of the market, an analysis from the American Medical Association found.
Editor's note: This story was updated Sept. 20 to reflect Aetna and HCA Hospitals reached a new agreement. Aetna and HCA Healthcare hospitals in Florida have reached a new contract agreement, avoiding a split that would have left 48 hospitals out-of-network.
Medicare Advantage plans are tasked with educating members about significant changes coming to the program in 2025. They also have to find a way to break through the noise of an election year.