Payer

The Pennsylvania Insurance Department has launched an online independent appeal process for state residents who believe their health plan wrongly denied a medical claim.

The Cigna Group is getting ready to launch a new program that offers employers and health plan sponsors a way to manage obesity, diabetes and cardiovascular disease using weight loss drugs, or GLP-1s.

UnitedHealth Group is the world's largest insurance company by net premiums for the ninth year in a row, according to AM Best's annual ranking of global insurers published in January. 

Medical costs for 2023 may be higher than CVS Health projected, CFO Thomas Cowhey said. 

Alignment Health is beginning 2024 with 155,000 Medicare Advantage members. 

Mark Cuban's Cost Plus Drug Co. announced a new partnership Jan. 9 with startup insurance provider Sidecar Health.

Idaho is the latest start considering Medicaid work requirements, the Idaho Capital Sun reported Jan. 9. 

Walgreens will pay Humana $360 million to settle a lawsuit alleging the pharmacy inflated its drug prices. 

CMS is terminating Chicago-based Zing Health's Medicare Advantage prescription drug plan at the end of 2024 following three consecutive years of star ratings below three stars.

Managed Medicaid and Medicare Advantage insurers economically lagged behind other payers and the wider market in 2023, according to a Jan. 5 analysis from S&P Global Market Intelligence.