Payer

Five states offered unrestricted coverage of the weight loss drugs Wegovy and Saxenda, a study published March 14 in JAMA found. 

The Justice Department is suing six health plans participating in the Uniformed Services Family Health Plan program for allegedly concealing overpayments for services provided to retired military members and their families. 

Several new studies uncovered differences between Medicare Advantage and fee-for-service, and CMS is calling on Medicare Advantage organizations to extend advanced funding to providers affected by the Change Healthcare outage. 

The Washington state insurance commissioner's office fined Molina Healthcare of Washington $100,000 for enrollment and billing errors. 

Medicare Advantage beneficiaries received less at-home care than their counterparts in fee-for-service Medicare, a study published March 1 in JAMA Health Forum found. 

Highmark Health has launched an advance funding program for providers struggling with cash flow in the wake of the Change Healthcare attack. 

From HHS asking insurers to pause prior authorizations in the wake of the change Healthcare cyberattack to a report finding that Medicare Part D plans have ramped up restrictions on prescription drugs, here are five updates on prior authorization Becker's…

Humana's top executives could collectively be paid more than $75 million if they leave the company or a change in control occurs, according to regulatory documents filed with the SEC on March 8.

Officials with the Biden administration met with UnitedHealth Group CEO Andrew Witty on March 12, urging the company to provide more emergency funding to healthcare providers facing significant financial disruptions from a cyberattack on its subsidiary, Change Healthcare, people familiar…

Medicare Advantage beneficiaries in a few states could see increased supplemental benefits or reduced cost sharing in 2025, according to estimates from Berkeley Research Group.