A federal judge in Washington state ruled Dec. 19 that Blue Cross Blue Shield of Illinois discriminated against transgender individuals by denying coverage for medically necessary gender-affirming care in its administration of employer-provided ERISA health plans.
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Kroger and Prime Therapeutics have agreed to a new contract.
A lawsuit from a pension fund holding Centene stock accused former executives of conspiring to defraud state Medicaid programs, the St. Louis Business Journal reported Dec. 21.
Cigna and Toledo, Ohio-based ProMedica have reached a verbal agreement for 2023, the Toledo Blade reported Dec. 21.
From a proposed CMS rule to streamline the process to states passing reforms, here are eight updates on prior authorization that Becker's has reported in 2022:
Becker's compiled some of the most-read payer stories of 2022. While half were about new federal policies, the others centered around mergers and disruptors within the industry.
Premiums for individual health insurance are set to rise in 2023, according to a Dec. 14 report from ValuePenguin. The financial analysis site found a 40-year-old enrolling in a silver ACA Exchange plan can expect to pay 4 percent more…
The National Association of Medicaid Directors is supporting Congress' proposal to allow states to begin reevaluating Medicaid eligibility in April 2023.
A settlement to prevent North Carolina Medicaid beneficiaries from being unfairly disenrolled could be a roadmap for other states as they brace for mass Medicaid disenrollments in 2023, NC Health News reported Dec. 21.
Friday Health Plans has named Beth Bierbower as CEO, effective Dec. 2.