Payer

Medicaid is in the midst of an unprecedented unwinding of continuous coverage requirements. The program is also expanding in some states and adding postpartum coverage. 

CVS Health will lay off 521 Aetna employees, according to WARN Act documents filed Aug. 18.  

Here are 150 things to know about UnitedHealth Group, Elevance Health, CVS Health, Cigna Group, Humana and Centene — six leading health insurers in the U.S.

CVS Health said Blue Shield of California's decision to swap CVS Caremark for Amazon Pharmacy and Mark Cuban's Cost Plus Drug Co. will have an "immaterial impact" on the company's long-term outlook. 

Co-branded Medicare Advantage plans shared between two organizations are nothing new, but payers continue to dive into new partnerships in an effort to reach more niche populations across a variety of settings.

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.