The sponsor of the Senate's version of a bill to reform the Medicare Advantage prior authorization process called prior authorization the "No. 1 physician and administrative concern in America."
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Updated estimates from the Urban Institute and Robert Wood Johnson Foundation show that 18 million people could lose Medicaid coverage when the COVID-19 public health emergency ends.
Payers are investing in health equity in many ways, including improving data collection, access to virtual care and adding health equity experts to C-suites.
Cigna will add Humira biosimilars to its pharmacy formulary, giving the new, cheaper alternative products hitting the market next year the same position as the drug.
The HHS' Inspector General's Office released audits of nine Medicare Advantage plans over the last six months, according to the organization's semiannual report to Congress, published Dec. 5.
Partnership HealthPlan of California and Fairfield, Calif.-based NorthBay Health reached a contract that will keep the nonprofit healthcare organization in network with the health system.
Alabama Medicaid reached an agreement with the Justice Department to end a longstanding policy that denied coverage of hepatitis C medication for those who consumed alcohol or drugs within six months of starting treatment or while using the medication.
Aetna and Munster, Ind.-based Community Healthcare System will go out of network if the two sides cannot reach a contract agreement by Jan. 15, Inside Indiana Business reported Dec. 5.
Centene's philanthropic arm and the company's Texas subsidiary, Superior HealthPlan, donated $7.9 million to a new community center in Uvalde, Texas.
ConnectiCare President Karen Moran has left the company to become president of Humana Military, the Hartford Business Journal reported Dec. 2.