Payer

A group of U.S. lawmakers have introduced legislation aimed at reforming the Medicare Advantage prior authorization process. 

Value-based strategy helped Humana improve outcomes and reduce costs for patients with chronic kidney disease and end-stage renal disease. 

Weight loss drugs are the number one thing on payers' and employers' minds right now, according to the president of Cigna's pharmacy benefit manager.

Serious complications from birth often emerge weeks postpartum, according to a report published by the Blue Cross Blue Shield Association on June 11. 

"Misplaced nostalgia" for traditional Medicare will not solve the program's problems, SCAN Health Group CEO Sachin Jain, MD, wrote in Forbes on June 10. 

Here are 10 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since May 28:

CMS must recalculate the Medicare Advantage star ratings for Anthem Blue Cross Blue Shield of Georgia, a federal judge ruled June 10. 

Medicare Advantage enrollees spend more than $2,500 less on healthcare costs on average than traditional Medicare enrollees, according to an independent analysis by ATI Advisory.

Humana's challenge to a CMS rule implementing stricter auditing standards on Medicare Advantage plans can continue, a federal judge ruled. 

Courts sided with SCAN Health Plan in a star ratings lawsuit that could have implications for other plans, and a Blue Cross Blue Shield company is pulling out of the Medicare Advantage business.