Humana recorded a net income of $1.2 billion in the first quarter of 2025, up from a net income of $741 million during the same period last year, according to its April 30 financial report. Total revenue for the three…
Payer
Elevance Health will remove most of its Anthem Medicare Advantage plans from online broker platforms. According to a message sent to brokers, Anthem said most of its standard Medicare Advantage plans will be removed from online broker platforms May 1.…
CVS Health will lay off 55 employees who report to Aetna’s headquarters in Hartford, Conn., due to the closure of the payer’s CareFree insurance plan. “We are sunsetting CareFree operations by the end of this year as part of our…
A package of California bills aiming to streamline the prior authorization process recently passed out of Senate and Assembly health committees, the California Medical Association said April 28. The four-bill “Prioritizing Patients, Empowering Physicians” package was unveiled April 10 by…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Akron Children’s Hospital seeks a director of reimbursement and payer analysis. 2. Albany…
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For payers, drug formulary development and maintenance are essential for accurate reporting and tracking of prescription medications. An up-to-date and well-established classification resource can help payers and other stakeholders manage their drug formulary more efficiently. While several classification resources are…
The Trump administration has boosted payment rates for Medicare Advantage plans, but some insurers have said the rates are not enough to offset lower rate increases over the past few years. In April, CMS said plans can expect a payment…
2025 is shaping up to be a rocky year for payers’ finances. At least seven Blue Cross Blue Shield plans reported losses in 2024, which could persist into 2025. In April, UnitedHealth Group cut its earnings guidance for 2025, citing…
A former Centene executive is suing the company over what he called “wrongful, anti-competitive, and bullying behavior” related to a noncompete agreement. The plaintiff, who served as vice president of pharma relations and business strategy at specialty pharmacy AcariaHealth (acquired…
One in three Americans receives health coverage through one of 33 independent Blue Cross Blue Shield companies. Here are 101 things to know about BCBS’ corporate structure, history and more. This story was first published in April 2023 and last…