What do you do when there’s an oligopoly controlling an industry, inhibiting price competition and consumer choice? You break it up. The three dominant pharmacy benefit managers (PBMs), CVS Caremark, Cigna’s Express Scripts and United’s OptumRx are drug-pricing middlemen, increasing…
Leadership
Cigna directly confirmed on Nov. 11 that it is not pursuing a merger with Humana and said it "continues to deliver shareholder value through focused execution against stated operational and financial targets, and via disciplined capital deployment including dividends and…
CVS Health named Steve Nelson as president of Aetna, effective Nov. 6.
Aetna's SimplePay plan cut healthcare costs for employers while encouraging members to seek out higher quality care.
Payer executives are looking forward to investing in AI, improving equity and new care models in 2025.
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Long Beach, Calif.-based SCAN Health Plan is trying to maintain calm amid a tumultuous Medicare open enrollment.
Payers have the opportunity to make strides on equity and care outcomes in the next year.
Blue Shield of California is continuing its efforts to transform its pharmacy benefits.
Mass General Brigham Health Plan has been growing its womens' health portfolio over the past year, adding programs to support pregnancy, child care and menopause.
Zing Health is plotting an expansion in the Medicare Advantage market.