CareFirst BlueCross BlueShield has filed a proposed class-action lawsuit accusing Johnson & Johnson and Janssen Biotech subsidiary of unlawfully delaying the introduction of biosimilar competition for ustekinumab.
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A pair of South Dakota lawmakers are seeking to put a ballot issue in front of voters in 2024 on whether the state should consider work requirements for those enrolled in the expanded Medicaid program, the Argus Leader reported Dec.…
Molina Healthcare reduced its offer for Bright Health's California Medicare Advantage business.
While the world of healthcare remains ever changing, Seattle, Wash.-based First Choice Health, a provider and hospital-owned healthcare company, is looking to expand its network footprint in 2024.
California's managed healthcare department fined Blue Shield of California $200,000 for mishandling provider claims.
The Federation of American Hospitals is asking CMS to include how often Medicare Advantage carriers uphold or overturn initially denied prior authorization requests into how the agency calculates star ratings for the program.
Health Care Service Corp. and Elevance Health are vying for Cigna's Medicare Advantage business, Bloomberg reported Dec. 15.
Providence Health Plan has named a chief administrative officer, chief growth officer and chief healthcare experience and equity officer.
Kraft Heinz has voluntarily dismissed a lawsuit against Aetna alleging the payer breached its fiduciary duties and used its role as third-party claims administrator for Kraft's employee health plan "to enrich itself" to the food manufacturer's detriment.
CMS will implement new risk adjustment payment rates, prior authorization requirements and network standards for Medicare Advantage plans in 2024.