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.
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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.
Forbes has named 15 health insurers on its 2023 list of the nation's 400 best employers for women.
The American Hospital Association, American Medical Association, AHIP and the Blue Cross Blue Shield Association are urging CMS not to move forward with implementing electronic transaction standards for healthcare attachments during prior authorization they say would create "costly burdens" across…
Former UnitedHealth Group CEO David Wichmann has been elected to board of directors for technology-driven physician enablement company Privia Health.
Centene could end 2023 with no four-star rated Medicare Advantage contracts, CEO Sarah London told investors on a July 28 call.