Payer

The U.S. Supreme Court has declined to hear Home Depot's challenge to a $2.67 billion settlement with Blue Cross Blue Shield companies, ending a legal saga over alleged anticompetitive behavior that dates back to 2012.

Blue Shield of California has fired a top executive for allegedly lying about her medical credentials, a spokesperson for the company told Becker's.

Some of the nation's largest health insurers have signaled significant headwinds in recent months within their Medicaid businesses as costs rise and the effect of redeterminations takes hold, but Fitch analysts expect those headwinds to be short-lived.

The majority of state Medicaid directors want to keep some of the temporary flexibilities CMS introduced during the redeterminations process, according to KFF. 

CMS will recalculate Medicare Advantage plans' 2024 star ratings, which could net some insurers millions more in bonus payments. 

Patients are the hidden beneficiaries of lab benefits management.

The U.S. uninsured rate is projected to increase to 8.9% by 2034, according to new estimates published by the Congressional Budget Office in June.

UnitedHealthcare of New York will pay $1 million to settle allegations it failed to cover contraceptives as required by state law. 

A total of 40 states will complete the Medicaid redetermination process by June 2024, while a few are expected to continue into the second half of the year and beyond. 

Humata Health, a company that uses AI and machine learning to streamline prior authorization for payers and providers, has closed a $25 million investment.