Payer

The Cigna Group is facing a growing number of lawsuits from members and a shareholder following a ProPublica report that alleges the company denies large batches of members' claims without individual review, thereby denying them coverage for certain services.

Proposed legislation would automatically enroll all children under age 18 in Medicaid. 

As several payers plan market expansions for 2024, others are leaving markets behind. 

The National Committee for Quality Assurance has named the top Medicare Advantage plans of 2023, and new research is uncovering cost differences between MA and traditional Medicare. 

In 2022, viewers tuning into "Dr. Phil" saw an average of eight ads for Medicare Advantage plans per episode during open enrollment season, according to an analysis from KFF. 

North Carolina will launch its Medicaid expansion program Dec. 1, which is expected to provide more than 600,000 state residents with coverage. 

Health insurers across the country are looking to raise premiums for individual exchange plans in 2024, with many proposing double-digit increases. In contrast, Blue Cross and Blue Shield of North Carolina says its members will see individual rates go down…

Kansas Gov. Laura Kelly has launched a statewide campaign pushing for Medicaid expansion, calling it her top priority for the state's legislative session next year.

Hospitals and healthcare systems in Mississippi could benefit by approximately $690 million from a couple of planned proposals announced Sept. 21 by Gov. Tate Reeves.

Bright Health's COO Jeff Cook is departing the company, effective Oct. 13.