Payers are implementing new programs to curb spending on prescription drugs, particularly specialty drugs. These medicines, prescribed to a small number of patients, accounted for half of prescription drugs costs in 2021, per HHS.
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Danville, Pa.-based Geisinger Health Plan has been fined $125,000 for wrongly rejecting health insurance claims, PennLive reported Jan. 27.
Medicare Advantage recently enrollment topped 30 million, a benchmark that AHIP, the trade group representing the industry, called a milestone.
Cigna is suing former executive Amy Bricker and CVS, alleging her departure to the rival violated a noncompete agreement, according to a federal lawsuit filed Jan. 26.
The Federal Trade Commission is reviewing UnitedHealth Group's planned purchase of home health firm LHC Group under a "potential vertical harm theory," Seeking Alpha reported Jan. 26, citing traders and a Capitol Forum report.
As many as 42 states could introduce bills this year to limit or change prior authorization, Miranda Motter, AHIP's vice president of state affairs, told Axios Jan. 27.
Ten providers — including Cone Health and Orlando Health — recently posted job listings seeking leaders in payer contracting and relations.
Quartz has named Jeff Butcher as senior vice president and CFO.
Blue Cross and Blue Shield of Texas and Ascension Texas have reached a new contract agreement, avoiding going out-of-network in a dispute that could have affected 66,000 patients.
Cigna and Humana are leading among healthcare companies for offering fair wages to employees, according to Just Capital's ranking of the "most just" companies.