The Cigna Group is facing a legal challenge to its prior authorization process and is expecting more pressure on its individual insurance margins.
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Artificial intelligence, progress in health equity and innovations in value-based care will drive change in the payer space in the next decade, industry leaders told Becker's.
CVS Health saw the largest gains in commercial membership of major payers in the second quarter of 2023, adding 159,000 members.
Insurers have proposed average ACA exchange premium increases of 6 percent for 2024, according to a report from Petersen-KFF's health system tracker.
From the Labor Department suing a UnitedHealth Group subsidiary over emergency claims denials, to members suing Cigna following a ProPublica report on unreviewed batches of denied claims, here are seven lawsuits and settlements involving payers Becker's has reported since July…
Changes in CMS' risk model for Medicare Advantage and rising medical costs among the Medicare population could lead to changes in benefit design, payer executives told investors in second-quarter earnings calls.
Centene posted $1.06 billion in net income in the second quarter of 2022, and leaders said the effects of Medicaid redeterminations are within their expectations.
Alignment Healthcare posted a $23.7 million dollar loss in the second quarter of 2023, up from a $6.6 million loss in the same time period last year.
Though payers are hesitant to offer broad coverage of weight loss drugs, 4 in 5 adults say insurers should cover drugs like Ozempic or Wegovy for adults diagnosed as overweight or obese, according to a survey from KFF.
Centene had the highest Medicaid membership of the largest payers in the second quarter of 2023. The company also lost the most members during the redeterminations process.