California will use an $82.5 million investment to eliminate deductibles and reduce copays for some of its Covered California plans.
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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.
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.