Payer

Humana's value-based care efforts in Medicare Advantage saved around $8 billion in 2022 compared to traditional Medicare, according to the company's annual value-based care report published Nov. 15. 

UnitedHealth Group and its health insurance arm, UnitedHealthcare, are facing a proposed class-action lawsuit alleging an AI algorithm wrongfully denied Medicare Advantage patients care. 

At least five states are considering adding coverage of weight loss drugs to their Medicaid program, according to KFF's 2023 survey of state Medicaid directors. 

Humana will open four CenterWell clinics in Indianapolis in 2023 and 2024, the company said in a Nov. 14 news release. 

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

The Justice Department is asking a Texas federal court to dismiss its case against SCA Health that alleged the company agreed with competitors not to poach senior-level employees.   

Artificial intelligence offers enormous potential for positive change within the health insurance industry, but like the integration of data analytics, that change will take time and be more pronounced in certain areas over others in the short-term, according to an…

The American Medical Association is urging insurers to cover the cost of new weight loss medications. 

The United Health Foundation is donating $1 million toward humanitarian aid for civilians affected by the ongoing Israel-Hamas war. 

Intermountain Health's insurance arm, Select Health, has rolled out a new partnership with Mark Cuban's Cost Plus Drug Co. to its more than 1 million members — a move its chief pharmacy benefits officer said is aimed at eliminating "all…