Payer

On July 25, Centene’s CEO Sarah London detailed three key dynamics affecting the ACA risk pool this year after the company posted a $253 million loss in the second quarter. The morbidity of the ACA market in some states has…

In July, CMS said it identified a possible 2.8 million Americans that have enrolled in Medicaid or CHIP in multiple states or have simultaneously enrolled in both Medicaid/CHIP and a subsidized ACA plan, a figure that one insurer is questioning. …

The Cigna Group’s board of directors has declared a $1.51 per share cash dividend to be paid Sept. 18.  The dividend will be paid to shareholders of record as of the close of business Sept. 4, according to a July…

The health insurance industry has committed to a series of new policies aimed at simplifying and reducing prior authorization requirements, but a majority of adults say they haven’t heard anything about the initiative, nor do they expect it to make…

From accelerating efforts to reform the prior authorization process to launching a collaboration with Epic’s MyChart, here are 10 updates on Humana that Becker’s has reported since June 12: 1. Humana is accelerating its efforts to reform the prior authorization…

A broad coalition of insurers, hospitals, healthcare trade associations and civic groups are urging congressional leaders to extend enhanced ACA premium tax credits before their expiration at the end of 2025. “If Congress fails to extend the tax credit, the…

Centene posted a $253 million loss in the second quarter as the company continues to face challenges across its ACA, Medicaid and Medicare Advantage businesses. “We are disappointed by our second quarter results, but we have a clear understanding of…

New York state will bar insurers from compensating brokers for enrolling members in the state’s essential plan, beginning in 2026.  The essential plan is available to low-income adults in New York who do not qualify for Medicaid.  Andrew Biernant, vice…

Humana is ramping up its efforts to reform the prior authorization process with a set of new policies that will reduce volumes for providers, speed up decisions, and increase transparency. Becker’s sat down with Caraline Coats, senior vice president for…

Molina Healthcare reported a 15% decline in net income year over year, according to the company’s second quarter earnings posted July 23. Total revenue in the second quarter was $11.4 billion, up 16% year over year.  Total net income in…