Payer

Insurers appointed new executives to lead their Medicaid business, and one CEO expects Medicaid expansion is around the corner in more states. 

North Carolina's treasurer, Dale Folwell, is urging the board that oversees the state's employee health plan to end coverage for GLP-1 drugs such as Wegovy and Saxenda, citing high costs.

Jefferson Health Plan will add four new plans in 2024. 

The lead defendant in a 15-defendant healthcare fraud scheme will serve over eight years in prison for conspiring to defraud Blue Cross Blue Shield. 

Molina Healthcare is promoting two senior leaders to run its flagship Medicaid business, CEO Joe Zubretsky said on an Oct. 26 investor call. 

Over half of U.S. adults say their healthcare costs are difficult to afford, including 43% of those with employer-sponsored insurance, a Commonwealth Fund survey published Oct. 26 found. 

A former executive of Elevance-owned HealthSun Health Plans has been charged for allegedly orchestrating a multimillion-dollar Medicare fraud scheme.

BCBS companies collectively reported an average medical loss ratio of 90.2% in the first half of 2023, according to an Oct. 24 report from Fitch Ratings shared with Becker's.

The Cigna Group's board authorized the company to pay a cash dividend of $1.23 per share on Dec. 21 to all shareholders of record as of the close of business Dec. 6, according to an Oct. 25 Cigna news release. 

A federal judge upheld a $2.7 billion settlement agreement resolving allegations Blue Cross Blue Shield Association members engaged in anti-competitive actions to drive up costs.