North Carolina lawmakers introduced legislation March 18 aimed at reforming the approval process for prior authorizations. The bill would require payers to notify physicians within a specific timeframe if the medical necessity of a service is being questioned. It would…
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Optum Rx, the pharmacy benefit manager under UnitedHealth Group, will remove prior authorization requirements for approximately 80 prescription drugs, aiming to streamline access for patients with chronic conditions. The policy change is expected to cut reauthorizations by 25%, accounting for…
Molina Healthcare President and CEO Joseph Zubretsky earned $21.9 million in 2024. The company reported the earnings of its top executives in its annual proxy report published March 17. Joseph Zubretsky, President and CEOSalary: $1,600,000Stock awards: $16,200,092Non-equity incentive plan compensation:…
The federal government is expected to spend $80 billion more on Medicare Advantage beneficiaries in 2025 than if these beneficiaries were enrolled in fee-for-service plans, and UnitedHealth Group scored a major legal victory in a case alleging the insurer overcharged…
California Gov. Gavin Newsom is asking lawmakers for an additional $2.8 billion to fund the state’s Medicaid program through the end of the year, Politico reported March 17. The request comes after Mr. Newsom proposed a $3.4 billion loan to…
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California has reached a $1.3 million settlement with Sedera and Sedera Medical Cost Sharing Community to resolve allegations that they advertised and sold "sham" health insurance plans to more than 2,000 people.
JPMorgan Chase is the latest large corporation to face a lawsuit from employees alleging mismanagement of its employee prescription drug benefits plan, which is administered by CVS Health.
Cigna Group CEO David Cordani earned $23.3 million in 2024.
Highmark Health Plans reported a $166 million operating loss in 2024, driven by rising medical costs.
The federal government will spend $84 billion more on Medicare Advantage enrollees than if they were enrolled in fee-for-service plans, according to new estimates from the Medicare Payment and Advisory Commission.