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Payment cuts did not reduce Medicare Advantage enrollment: Study
Cuts in Medicare Advantage benchmark payments did not lead to slower growth in enrollment, a study published June 24 in JAMA Health Forum found. -
Meal delivery reduced rehospitalization, death rates for Medicare Advantage members, Kaiser study finds
Kaiser Permanente reduced rehospitalizations and deaths among Medicare Advantage members 30 days after hospitalizations using meal benefits. -
Removing ACA preventive care requirements won't result in big savings for employers: Study
If employers no longer cover certain preventive services, individuals could face higher out-of-pocket costs, while employers won't see a big effect on spending, a report from the Employee Benefits Research Institute found. -
7 key prior authorization updates from the 1st half of 2023
From policy changes announced by UnitedHealthcare, to a final rule issued by CMS, here are seven key prior authorization updates Becker's has reported so far in 2023. -
'Employees are asking for this:' Will more employers cover weight loss drugs?
GLP-1 drugs like Ozempic and Wegovy can help people lose weight but come with a steep price tag that makes employers reluctant to cover their cost. -
5 payer rebrands in the past year to know
In June 2022, Anthem officially switched its name to Elevance Health, and launched new subsidiaries under the name. -
OIG: Medicare overpaid up to $888M for genetic tests
Medicare could have overpaid hundreds of millions for genetic testing from 2018 to 2021, an audit from HHS' Office of Inspector General found. -
Fitch: Payers to weather rising utilization, drug costs
The nation's largest health insurers have suitable credit ratings to withstand mounting cost pressures driven by growing drug shortages, rising pharmaceutical costs and higher utilization of services post-pandemic, according to Fitch Ratings. -
Michigan taking additional steps to preserve Medicaid eligibility
The Michigan Department of Health and Human Services is taking advantage of new federal flexibilities to preserve Medicaid eligibility for residents who must complete renewal forms by the end of June. -
Optum adds 2 more Humira biosimilars to formulary
Optum Rx will add more biosimilar competitors of expensive biologic Humira beginning July 1. -
Clover Health reaches agreement to settle 7 lawsuits
Clover Health has reached settlement agreements in seven derivative lawsuits, resolving all remaining civil litigation that accused the company of misleading investors and committing securities fraud preceding its initial public offering in 2021. -
Humana to open 7 CenterWell clinics in Tennessee
Humana will open seven new CenterWell primary care clinics in Tennessee this year. -
10 Medicaid updates from the first half of 2023
States have started disenrolling members from Medicaid for the first time since 2020 as pandemic continuous coverage requirements come to an end. -
8 key Centene updates from the 1st half of 2023
From completed divestitures to shareholders shooting down a pair of proposals that took aim at executive pay, here are eight Centene updates to know from the first six months of 2023. -
Blue Cross Blue Shield Association launching youth mental health program
The Blue Cross Blue Shield Association is putting $10 million behind a partnership with Boys and Girls Clubs of America to address youth mental health. -
Judge strikes down Florida's ban on Medicaid funds for gender-affirming treatment
A federal judge in Florida struck down the state's attempt to prohibit Medicaid coverage for gender-affirming care, Politico reported June 21. -
What to know about NYC's controversial Medicare Advantage plan for retirees
New York City's $15 billion contract to provide Medicare Advantage to 250,000 retired city employees and their dependents is facing more court challenges. -
Long-term impacts of weight loss drugs are unclear, Elevance Health CEO says
GLP-1 drugs have shown short-term benefits for people with diabetes, but the long-term impact of the drugs is unclear, Elevance Health CEO Gail Boudreaux said in a June 21 Wall Street Journal report. -
Lawmakers want CMS' prior authorization proposal to go further
More than 230 U.S. representatives and 61 senators are asking HHS and CMS leaders to bolster a proposed rule aimed at streamlining the prior authorization process, Politico reported June 21. -
10 key UnitedHealth Group updates from the 1st half of 2023
From announcing plans to eliminate 20 percent of its current prior authorizations, to closing its acquisition of LHC Group, here 10 UnitedHealth Group updates to know from the first six months of 2023:
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