Payer

The California Supreme Court ruled that the state's medical association has standing to sue Aetna's operations in California for allegedly interfering with the medical judgment of physicians who refer patients to out-of-network providers.

The following leaders were the nine highest paid chief executives at publicly traded health insurance companies in 2022, according to public financial filings.

CMS is ramping up efforts to connect over 2 million people who have been disenrolled from Medicaid coverage to ACA plans. 

Friday Health Plan members in Colorado must enroll in new insurance by Aug. 31 to avoid a gap in coverage, the state's division of insurance said July 17. 

Medicare Advantage overpayments may be higher than the Medicare Payment and Advisory Commission estimates, a June study from researchers at the Los Angeles-based University of Southern California found. 

Pfizer CEO Albert Bourla, PhD, was the highest-paid executive out of the 11 healthcare firms in the top 50 companies on the 2023 Fortune 500 rankings. 

Arlington, Virginia is the fittest city in America for the 6th year in a row, according to the 16th annual American College of Sports Medicine Fitness Index published July 18 alongside the Elevance Health Foundation.

Humana is warning of rising medical utilization rates and has published new research findings. 

Centene received workforce awards and beat out Optum for a behavioral health contract with Idaho in the past month. 

Payers are using artificial intelligence to speed up administrative processes, improve customer services and analyze data.