Payer

UCare has selected Navitus Health Solutions, a pharmacy benefit manager owned by St. Louis-based SSM Health and Costco, to administer pharmacy benefits to its more than 600,000 members across all lines of business, effective Jan. 1.

Eleven payers have been named among Newsweek's 2023 America's Greatest Workplaces for Parents and Families. 

HHS paused Medicaid enrollments in 30 states reporting issues with their automatic renewal systems, and some states are enacting or considering Medicaid expansion. 

Private insurers are covering the full cost of COVID-19 vaccines for beneficiaries this fall, payer executives told HHS Secretary Xavier Becerra. 

Health plan operations are full of repetitive work cycles and tasks requiring highly specialized knowledge. How do you ensure your tools and processes reduce no- or low-value activities and unlock the capacity for employees to focus on more thoughtful work?

Four states received increased federal Medicaid funding during the COVID-19 pandemic, though they may have terminated beneficiaries' coverage in violation of continuous coverage rules in place during the public health emergency, an audit by HHS' Office of Inspector General found. 

UCHealth Plan Administrators is joining Select Health, the nonprofit insurance arm of Salt Lake City-based Intermountain Health that serves more than 1 million members across Utah, Idaho and Nevada.

Medicare Advantage and Medicare Part D premiums, benefits and plan choices won't be changing much in 2024, CMS said Sept. 26.

Miami-based primary care provider Cano Health is selling the bulk of its centers in Texas and Nevada.

Cigna agreed to pay $150,000 to settle allegations from the Virginia Bureau of Insurance that it violated state law by failing to provide required balance billing disclosures.