Author: Staff

A Louisiana appeals court ruled that Blue Cross and Blue Shield of Louisiana must face a 2016 lawsuit over rate reimbursements, according to an opinion released Feb. 14. 

Michigan lawmakers passed a bipartisan bill Feb. 16 that seeks to increase the transparency of its pharmacy benefit managers in an effort to bring down prescription drug prices. 

Optum launched Specialty Fusion Feb. 17, a new solution from the UnitedHealth Group subsidiary that allows payers and providers to manage specialty drug treatments with real-time data. 

Thirty-four U.S. senators issued a joint statement to the Biden administration Feb. 16  urging it to increase enforcement against payers who illegally deny birth control coverage.

Rochester, Minn.-based Mayo Clinic said its recent decision to clamp down on out-of-network patient appointments is a result of capacity issues, not a reimbursement quarrel, the Post Bulletin reported Feb. 15. 

The demand for service dogs to help patients navigate disabilities is swelling, but lofty costs tied to getting a canine are largely left to patients, according to Kaiser Health News.

Hospitals on average are charging patients and payers twice the price specialty pharmacies charge for the same drugs, according to a Feb. 16 report from America's Health Insurance Plans. 

UnitedHealthcare secured a contract to administer the District Dual Choice program in Washington, D.C.

Simeon Schindelman, Bright HealthCare's CEO, is stepping down from his role effective March 11, according to a Feb. 11 SEC filing. 

Lawmakers in South Dakota rejected a Republican-led effort to expand the state's Medicaid program via a state statute, now leaving it to voters to approve the move, according to the Argus Leader.