Riverdale, Ga.-based Southern Regional Medical Center is suing Cigna, alleging the payer did not fully reimburse SRMC for medically necessary services as an out-of-network provider, The Clayton Crescent reported Aug. 3.
Payer
Texas has the most uninsured residents in the country, while Vermont has the least, according to new data released Aug. 3 by the U.S. Census Bureau.
Clover Health has regained compliance with Nasdaq's minimum bid price requirement, avoiding a potential deslisting, the company said in an Aug. 3 filing with the Securities and Exchange Commission.
The American Medical Association said it appreciates UnitedHealthcare's efforts to reduce the "overwhelming volume of prior authorization requirements" after the payer released details about its previously announced plan to reduce prior authorizations by nearly 20 percent.
CVS Health confirmed Aug. 1 that it is eliminating 5,000 "non-customer-facing positions" across the company, but it has not specified where the cuts will occur, including at Aetna, the payer it acquired in 2018.
Advertisement
Cigna is expecting smaller margins in its individual insurance business because of higher-than-expected risk adjustment payments, Cigna Group executives told investors on an Aug. 3 call.
Payers are cracking down on prescriptions for expensive GLP-1 drugs like Ozempic and Wegovy, but these drugs could provide a boost to the pharmaceutical benefit sides of payers' businesses, executives told investors.
The Blue Cross Blue Shield Association is backing a bill that would eliminate restrictions on same-day billing for mental health services for children on Medicaid.
Medicaid redeterminations are continuing, with more than 3.7 million people removed from the program since April, according to KFF. Recent survey results show many enrollees say their health plan has not reached out to them about how to renew their…
The nation's largest payers have filed their second-quarter earnings reports, detailing revenue and profit totals. Becker's analyzed financial earnings at each company as a whole, along with their individual health benefits segments. A ranking of Q1 profits is here.