In December 2022, CMS pitched a rule it said would streamline the prior authorization process. But 10 months after closing public comment, it remains uncertain when — or if — the proposal will be finalized, KFF Health News reported Jan.…
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CMS uses star ratings to determine the quality of Medicare Advantage prescription drug plans. The agency may terminate a plan sponsor's contract to administer Medicare benefits if it achieves a rating of less than three stars for three consecutive contract…
Over 20 million people have enrolled in individual insurance plans on the ACA exchange for 2024, CMS said Jan. 10.
The Pennsylvania Insurance Department has launched an online independent appeal process for state residents who believe their health plan wrongly denied a medical claim.
Elevance Health will provide smartphones with unlimited talk, text and data to some of its Medicaid members.
The Cigna Group is getting ready to launch a new program that offers employers and health plan sponsors a way to manage obesity, diabetes and cardiovascular disease using weight loss drugs, or GLP-1s.
Newark, Del.-based ChristianaCare is out of network with Humana's Medicare Advantage plans as of Jan. 1.
As more payers scoop up providers, the Cigna Group prefers to partner with provider groups, rather than own them outright, Eric Palmer, CEO of Evernorth, Cigna's healthcare services arm, said.
UnitedHealth Group is the world's largest insurance company by net premiums for the ninth year in a row, according to AM Best's annual ranking of global insurers published in January.
Medical costs for 2023 may be higher than CVS Health projected, CFO Thomas Cowhey said.