Aetna is launching Care Paths, a new digital tool that is part of parent company CVS Health’s investment in building a more connected, tech-enabled consumer healthcare experience. Aetna Care Paths is available to members through the Aetna Health app, according…
Payer
Venous leg ulcers (VLUs) remain one of the most persistent, costly chronic wounds in payer networks.Current treatments often fall short and coverage policies overlook promising alternatives. But new clinical evidence may change that.Join a discussion that explores findings from the…
UnitedHealth Group CEO Stephen Hemsley opened the company’s second quarter earnings call on July 29 with a candid message to investors: the organization has made pricing and operational mistakes and is now taking on a “tone of change and reform.”…
UnitedHealth Group posted a net profit of $3.4 billion in the second quarter of 2025, down from $4.2 billion during the same period last year, according to the company’s July 29 earnings report. The company also set a new 2025…
Payers have faced state penalties in 2025 for slow reimbursements, improper claims denials, and mental health parity violations. Fines in 2024 are here. Payers fined by states in 2025:
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From payers announcing commitments to reduce prior authorizations to Alaska lawmakers passing a reform bill, here are six updates on prior authorization that Becker’s has reported since June 23: 1. The broader health insurance industry announced a series of commitments…
The percentage of eligible Medicare beneficiaries enrolled in Medicare Advantage plans rose to 54% in 2025, but the pace of the increase in enrollment slowed in 2025, according to a July 28 report from KFF. Six things to know: 1.…
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…