Prime Therapeutics has promoted Mostafa Kamal to be the pharmacy benefit manager's next CEO.
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Medicare Advantage profits will likely be stable in 2023 but could face pressure from rising utilization rates in 2024, according to commentary from AM Best published June 30.
A Kraft Heinz Co. employee benefits group representing employees, retirees and their dependents is suing Aetna for allegedly breaching its fiduciary duties and using its role as third-party claims administrator "to enrich itself to Kraft Heinz's detriment."
New regulations for inpatient services in Medicare Advantage are looming, and new research has found MA enrollees with chronic conditions are likely to stay enrolled in the programand spend less time in the hospital than their fee-for-service counterparts.
State employee health plans are often the largest commercial purchaser of healthcare in each state, according to a report from the Center on Health Insurance Reforms at Georgetown University in Washington, D.C.
CMS published updated guidance for the Medicare Drug Price Negotiation program, based on feedback from more than 7,500 public comments.
Medicare Advantage members are less likely to be prescribed high-risk medications than their counterparts in fee-for-service Medicare, a study published June 27 in JAMA Health Forum found.
Longtime Centene executive Brent Layton is joining the board of directors for healthcare startup Homeward.
Independence Blue Cross has promoted Daniel Brown to vice president of provider reimbursement analysis and administration, Michael Hébert to vice president of provider contracting, and Obadiah Sang to vice president of corporate development and strategic investments.
Molina Healthcare will purchase Bright Health Group's California Medicare Advantage business for $600 million, the two businesses said June 30.