-
Elevance Health in the headlines: 8 recent updates
Elevance Health posted $2 billion in profit in the first quarter of 2023, according to its earnings report published April 19. -
Bright Health looks to sell its last insurance business
Bright Health Group is trying to sell its California Medicare Advantage business, a move that would effectively end all of the company's insurance business. -
OIG: Duplicate Medicare, VA payments cost Medicare $128M
Medicare could have saved $128 million in duplicate claims payments with a better data-sharing agreement with the Veterans Health Administration, according to an audit from HHS' Office of Inspector General. -
Medicaid covers weight-loss drugs in these 10 states
Most private payers do not cover new drugs meant to treat obesity, but Medicaid programs in a few states do, Bloomberg reported April 27. -
Why Georgia is paying hackers to break into its Medicaid system
Georgia is paying hackers to break into Georgia Gateway — the system residents access for programs like Medicaid — to search for vulnerabilities, The Atlanta Journal-Constitution and Axios reported April 27. -
Bill to reorganize Blue Cross NC advancing despite insurance commissioner's opposition
Legislation that would allow Blue Cross and Blue Shield of North Carolina to reorganize, adding a nonprofit parent holding company, is moving ahead in the state's House of Representatives. -
Payers ranked by CEO-to-median-employee pay ratio
Elevance Health CEO Gail Boudreaux was paid 383 times more than the company's median employee in 2022. -
AHIP, AHA point fingers on cost of specialty drugs
Insurer groups say hospitals are to blame for higher costs of specialty drugs, while hospitals say the problem stems from drug manufacturers and pharmaceutical benefit managers. -
How data accuracy and cost transparency can improve member engagement
Ensuring adequate coverage across provider networks is a top priority for health plans that want to stay competitive and offer a positive member experience. But for patients to benefit from plan coverage, they first need access to accurate and transparent data. -
Centene in the headlines: 7 recent updates
Centene posted $1.1 billion in profit in the first quarter of 2023 in its earnings report filed April 25. -
PBMs sticking with higher-priced versions as Humira biosimilars enter market
Pharmaceutical benefit managers are often choosing higher-priced options as biosimilar competitors to Humira hit the market, Bloomberg reported April 26. -
Humana posts $1.3B profit in Q1
Humana posted a 33 percent increase in profits year over year and added more than 500,000 Medicare Advantage members in the past year, according to its first-quarter earnings posted April 26. -
North Carolina caps Friday Health Plans enrollment
The North Carolina Department of Insurance is suspending new enrollment in Friday Health Plans. -
5 questions Medicare Advantage data doesn't answer
A lack of data about Medicare Advantage plans means there are several unanswered questions about the program, according to an analysis from the Kaiser Family Foundation. -
AHIP goes after Big Pharma on drug prices in new ad campaign
AHIP launched a new advertising campaign blaming drug manufacturers for rising drug costs. -
Centene posts $1.1B profit in Q1
Centene reported double-digit growth in profits for the first three months of 2023 and added more than 2 million members year over year, according to its first-quarter earnings posted April 25. -
Highest-paid payer CFOs in 2022
John Rex of UnitedHealth Group was the highest-paid CFO among prominent payer companies in 2022. -
Clover Health faces potential Nasdaq delisting
Clover Health's stock could be delisted from Nasdaq, the company disclosed in a filing with the Securities and Exchange Commission. -
Medicare to cover new Alzheimer's drugs, Eli Lilly says
Eli Lilly is expecting CMS to reverse course on its Medicare coverage policies around new Alzheimer's drugs as more evidence shows they are capable of reducing amyloid plaques in the brain, Reuters exclusively reported April 21. -
Aetna piloting doula services for Maryland Medicaid members
Aetna's Medicaid program in Maryland is piloting a new program for covered doula services in collaboration with digital health solution provider, Mae.
Page 43 of 50