Author: Rylee Wilson

Blue Cross Blue Shield of Massachusetts has named Krista Bowers as senior vice president of government programs. 

Both CVS Health and Humana contend with rising inpatient costs in Medicare Advantage, but each points to different causes for the increases. 

L.A. Care Health Plan has removed 24% of its prior authorization requirements. 

At least 16 states provide coverage of GLP-1 drugs for weight loss to state employees, according to data from Leverage and the Robert Wood Johnson Foundation. 

Medicare Advantage costs could rise in the second half of 2024, CVS Health CFO Tom Cowhey told investors. 

Payers are preparing an aggressive defense of their pharmaceutical benefit managers from scrutiny on Capitol Hill. 

CVS Health CEO Karen Lynch will take over leadership of Aetna after a difficult year for the insurer. 

Blue Cross Blue Shield of Louisiana will rebrand as Louisiana Blue. 

Clover Health reported a net income of $7.2 million in the second quarter of 2024, the company's first-ever profitable quarter. 

Medicare Advantage insurers denied 7.4% of prior authorization requests in 2022, according to data published by KFF.