Payer

U.S. Rep. Frank Pallone Jr. is launching an inquiry into prior authorization denials by Medicaid managed care organizations. 

CMS warned states about their compliance with Medicaid redetermination guidelines, and Medicaid expansion in North Carolina is hitting roadblocks. 

Blue Shield of California chose Mark Cuban Cost Plus Drug Co. and Amazon Pharmacy on Aug. 17 as its preferred pharmacy networks. 

Tennessee Rep. Mark Green has introduced a bill targeting prior authorization requirements in Medicare and Medicare Advantage, as well as prior authorization fixes for Medicare prescription drug plans. 

Payers are planning moves to new markets in 2024. 

Immune checkpoint inhibitors, first launched in 2011, have greatly improved survival rates for melanoma, kidney and lung cancers. 

Connecticut Attorney General William Tong sent a letter to the state's insurance commissioner asking him to reject double-digit rate increases sought by Anthem, Cigna and ConnectiCare. 

An Amedisys stockholder has filed a lawsuit against the home health provider and its directors, alleging they misrepresented key information in a proxy statement related to UnitedHealth's proposed acquisition of the company. 

Georgia has approved 265 people to take part in the nation's only Medicaid program that requires proof of work to receive benefits, the Georgia Recorder reported Aug. 10.

Some state officials say people who have lost Medicaid coverage during the redeterminations process are not all becoming uninsured, Politico reported Aug. 15.