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.
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Priority Health has named Rick Abbott as senior vice president of employer solutions, effective July 31.
Short-term insurance plans can be valuable for those comfortable with high-deductibles in need of basic coverage, Victoria Eardley wrote in a July 21 opinion for The Wall Street Journal.
AHIP has tapped LaShawn McIver, MD, director of CMS' Office of Minority Health, as chief health equity officer.
Physicians who serve more patients dually eligible for Medicare and Medicaid and with higher risk scores are less likely to be included in Medicare Advantage networks, a study published July 21 in JAMA Health Forum found.
St. Louis-based Ascension has dropped coverage for weight loss drugs such as Wegovy from its employee health plan.
Employer-sponsored insurance plans with fully-integrated medical and pharmaceutical benefits can lower medical costs and reduce hospitalization and emergency room visit rates, according to a report from Blue Cross Blue Shield of Minnesota and Prime Therapeutics.
The CEO of a laboratory company acquitted in a $1.4 billion fraud scheme is suing six payers, alleging they made false allegations to regulators and prosecutors to avoid paying millions in legitimate claims.
Elevance Health beat investor expectations in its latest earnings report and is adding new food-as-medicine initiatives.
The neighborhood an individual lives in can affect their healthcare utilization, especially in the Medicare population, according to a study in the American Journal of Managed Care.