Aetna has been involved in a series of legal challenges and garnered workforce awards in recent weeks.
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Virginia made capitation payments for thousands of Medicaid enrollees after their deaths, an audit from HHS' Office of Inspector General found.
Florida has reached a settlement in a class-action lawsuit that is expected to result in the state's Medicaid program providing incontinence supplies to adults with disabilities, NPR affiliate WGCU reported July 24.
The White House is proposing stronger standards for insurers' coverage of mental health services.
There is a wide variation in Medicaid disenrollment rates across reporting states, ranging from 82 percent in Texas to 10 percent in Michigan, according to a July 24 KFF report.
California will use an $82.5 million investment to eliminate deductibles and reduce copays for some of its Covered California plans.
Recent studies have uncovered differences between networks, beneficiary characteristics and medications prescribed in Medicare Advantage and fee-for-service Medicare.
Common misconceptions about prior authorizations include how they are decided and their purpose, payer executives told Becker's.
Two Cigna members have filed a class-action complaint against their insurer for allegedly denying large batches of members' claims without individual review, thereby denying them coverage for certain services.
Priority Health has named Rick Abbott as senior vice president of employer solutions, effective July 31.