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Alignment Health posts $24M Q2 loss
Alignment Healthcare posted a $23.7 million dollar loss in the second quarter of 2023, up from a $6.6 million loss in the same time period last year. -
Majority of adults think insurers should cover weight loss drugs: KFF survey
Though payers are hesitant to offer broad coverage of weight loss drugs, 4 in 5 adults say insurers should cover drugs like Ozempic or Wegovy for adults diagnosed as overweight or obese, according to a survey from KFF. -
Payers ranked by Medicaid membership | Q2 2023
Centene had the highest Medicaid membership of the largest payers in the second quarter of 2023. The company also lost the most members during the redeterminations process. -
The county with the lowest uninsured rate in each state
Norfolk County, Massachusetts has the lowest rate of uninsured residents in the country at 2.4 percent, according to new data released Aug. 3 by the U.S. Census Bureau. -
The county with the highest uninsured rate in each state
Kenedy County, Texas has the highest rate of uninsured residents in the country at 46.3 percent, according to new data released Aug. 3 by the U.S. Census Bureau. -
Humana ends controversial prior authorization policy in Georgia
Humana ended a cataract surgery prior authorization policy for Medicare Advantage beneficiaries in Georgia that had been criticized by ophthalmology groups. -
Georgia hospital sues Cigna for allegedly shortchanging reimbursements
Riverdale, Ga.-based Southern Regional Medical Center is suing Cigna, alleging the payer did not fully reimburse SRMC for medically necessary services as an out-of-network provider, The Clayton Crescent reported Aug. 3. -
States with the most uninsured residents
Texas has the most uninsured residents in the country, while Vermont has the least, according to new data released Aug. 3 by the U.S. Census Bureau. -
Clover Health escapes delisting threat
Clover Health has regained compliance with Nasdaq's minimum bid price requirement, avoiding a potential deslisting, the company said in an Aug. 3 filing with the Securities and Exchange Commission. -
AMA 'cautiously optimistic' as UnitedHealthcare details prior authorization cuts
The American Medical Association said it appreciates UnitedHealthcare's efforts to reduce the "overwhelming volume of prior authorization requirements" after the payer released details about its previously announced plan to reduce prior authorizations by nearly 20 percent. -
CVS Health is cutting 5,000 jobs. Its effect on Aetna is unclear
CVS Health confirmed Aug. 1 that it is eliminating 5,000 "non-customer-facing positions" across the company, but it has not specified where the cuts will occur, including at Aetna, the payer it acquired in 2018. -
Cigna faces larger-than-expected risk adjustment payments in the individual market
Cigna is expecting smaller margins in its individual insurance business because of higher-than-expected risk adjustment payments, Cigna Group executives told investors on an Aug. 3 call. -
Weight loss drugs can boost payers' pharmaceutical business
Payers are cracking down on prescriptions for expensive GLP-1 drugs like Ozempic and Wegovy, but these drugs could provide a boost to the pharmaceutical benefit sides of payers' businesses, executives told investors. -
BCBS Association backing bill to allow same-day billing for youth mental health services
The Blue Cross Blue Shield Association is backing a bill that would eliminate restrictions on same-day billing for mental health services for children on Medicaid. -
Medicaid in the headlines: 10 recent updates
Medicaid redeterminations are continuing, with more than 3.7 million people removed from the program since April, according to KFF. Recent survey results show many enrollees say their health plan has not reached out to them about how to renew their coverage, and around 140,000 applied for marketplace coverage in the first month of redeterminations. -
Big payers ranked by Q2 profits
The nation's largest payers have filed their second-quarter earnings reports, detailing revenue and profit totals. Becker's analyzed financial earnings at each company as a whole, along with their individual health benefits segments. A ranking of Q1 profits is here. -
Payers ranked by Medicare Advantage membership | Q2 2023
Humana had the largest Medicare Advantage membership growth in the second quarter of 2023, and UnitedHealthcare continues to have the largest member base, according to the companies' earnings reports. -
The nation hit a record uninsured rate of 7.7% in 2023 — then Medicaid redeterminations started
The uninsured rate hit a record low of 7.7 percent in the first quarter of 2023, according to data published Aug. 3 by the CDC. -
Where payers rank among the world's largest companies
UnitedHealth Group is the 10th largest company in the world by revenue, according to Fortune's "Global 500" list. -
UnitedHealth Group in the headlines: 10 recent updates
From the labor department suing over emergency claims denials, to releasing details of its planned 20 percent reduction in prior authorization requirements, here are 10 updates about UnitedHealth Group Becker's has reported since July 12.
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