Payer

Increasing Medicare Advantage enrollment in rural areas did not increase rural hospitals' financial distress or risk of closing, a study published Nov. 3 in the American Journal of Managed Care found. 

Allstate is looking to sell its health benefits division in 2024, CEO Tom Wilson told investors on a Nov. 2 quarterly earnings call.

The nation's largest payers have filed their third-quarter earnings reports, revealing which grew total member enrollment and business lines the most year over year.

The nation's largest payers have filed their third-quarter earnings reports, revealing how medical loss ratios changed year over year. Individual BCBS company MLRs for the first half of 2023 are here.

Greenville, S.C.-based Prisma Health is asking a judge to reconsider its request for a restraining order against UnitedHealthcare over allegations the insurer breached its confidentiality agreement with Prisma, as the two sides approach a Jan. 1 deadline to reach a…

The Cigna Group is expecting a program that offers employers ways to manage the high cost of new weight loss drugs to grow. 

The nation's largest payers have filed their third-quarter earnings reports, revealing which grew their revenues and net incomes the most year over year. Individual BCBS company revenues and profits in the first half of 2023 are also available.

Medicare Advantage enrollees have 70% lower hospital readmission rates than their counterparts in fee-for-service Medicare, a white paper from researchers at Boston-based Harvard Medical School and software firm Inovalon found. 

Eighty percent of patients in the U.S. with insurance coverage who are taking Novo Nordisk's weight loss drug Wegovy pay less than $25 a month for the drug, CNBC reported Nov. 2. 

Humana PPO payment rates for diabetes with complications ranged from $31,998 for Houston-based Memorial Hermann to $6,376 for Johnson City, Tenn.-based Ballad Health, according to data compiled by Hospital Pricing Specialists.