UnitedHealthcare and Orlando (Fla.) Health have reached an agreement that will keep 70,000 patients in network at the health system, ABC affiliate WFTV reported Aug. 1.
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The first wave of UnitedHealthcare's previously announced 20 percent reduction in prior authorization requirements takes effect Sept 1.
CMS is projecting Medicare Part D premiums to decrease by 1.8 percent in 2024, the agency said in a July 31 news release.
Around half of beneficiaries dually-eligible for Medicare and Medicaid are enrolled in Medicare Advantage, according to a July 31 analysis from KFF.
As demand for GLP-1s such as Ozempic and Wegovy continues to surge, payers and self-insured employers are dropping coverage for the weight loss medications left and right.
Portland, Maine-based Martin's Point Health Care has agreed to pay $22.5 million to resolve allegations that it knowingly submitted inaccurate diagnosis codes for Medicare Advantage Plan enrollees to increase reimbursements from Medicare.
Elevance Health is rebranding its Amerigroup subsidiary as Wellpoint.
Federal and state-based insurance marketplaces received around 140,000 applications from people who previously had Medicaid coverage in April, according to data from CMS.
Centene subsidiary Meridian of Illinois has named Cristal Gary as plan president and CEO.
Former UnitedHealthcare executive Regina Pitstick has been named senior vice president of Aptihealth, a tech-driven behavioral healthcare provider.