Centene expects rising Medicaid expenses to hurt its third-quarter earnings.
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The four largest pharmaceutical benefit managers account for 70% of the market, an analysis from the American Medical Association found.
From UnitedHealthcare releasing details about its national gold-card program to a reform bill in California clearing one of its final legislative hurdles, here are six updates on prior authorization that Becker's has reported since Aug. 20:
Insurers and employers face ongoing challenges in covering costly GLP-1 medications, with coverage rates varying significantly based on the individual's insurance plan and employer.
Editor's note: This story was updated Sept. 20 to reflect Aetna and HCA Hospitals reached a new agreement. Aetna and HCA Healthcare hospitals in Florida have reached a new contract agreement, avoiding a split that would have left 48 hospitals out-of-network.
Come mid-October, the Medicare Advantage program will enter its annual enrollment period, marked by significant changes for older adults.
Medicare Advantage plans are tasked with educating members about significant changes coming to the program in 2025. They also have to find a way to break through the noise of an election year.
The Biden administration has finalized new requirements for health plans to strengthen mental health parity laws for 175 million Americans.
Major Medicare Advantage carriers have been reporting an increase in inpatient care costs during the first half of 2024, influencing future pricing and plan design strategies.
Selling Blue Cross Blue Shield of Louisiana is "completely off the table" for new CEO Bryan Camerlinck, Business Report reported Aug. 29.