Artificial intelligence has the potential to lower internal and member costs for insurers while also increasing profits, but the industry has largely not embraced these opportunities, according to a June 5 analysis from McKinsey.
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VSP Vision has named former UnitedHealth Group executive Usha Patil as chief insurance officer.
Mobile, Ala.-based Infirmary Health is out of network with UnitedHealthcare as of June 4.
Dual-eligible special needs plan enrollees are twice as likely to have prior authorization requests denied compared to all other Medicare Advantage members, according to KFF.
California improperly used $52.7 million in federal Medicaid funds to pay for nonemergency care for Medicaid recipients without legal status, according to an audit from HHS' Office of Inspector General.
Seven payers landed among the top 25 healthcare companies on the Fortune 500 in 2024.
Payers are expecting to issue a total of about $1.1 billion in medical loss ratio rebates across all commercial markets in 2024, according to preliminary estimates published June 5 by KFF.
Aetna has promoted Erich Twachtman to vice president, head of commercial regions.
A federal appeals court ruled that a lower court did not abuse its broad discretion by granting Cigna a request for a preliminary injunction barring a former executive from taking a job at CVS Health while a lawsuit over her…
Ten providers recently posted job listings seeking leaders in payer contracting and relations.