Payer

More than 1 million people have been disenrolled from Medicaid coverage, according to June 12 data from KFF. 

Cigna is delaying a prior authorization policy and pursuing legal action to keep one of its former executives from joining CVS Health. 

CMS is projecting a 7.7 percent increase in private health insurance spending in 2023, driven by an increase in utilization and rising prices of medical care. 

Four in 5 adults with employer-sponsored insurance rated their coverage positively, but many also reported having problems with their insurance in the past 12 months, according to a survey from KFF. 

From UnitedHealthcare backing off a gastroenterology endoscopy policy, to the American Medical Association raising concerns about the use of artificial intelligence, here are nine updates on prior authorization Becker's has reported since May 11:  

The American Medical Association is raising concerns about the use of artificial intelligence to review claims for prior authorization. 

Just two states — Florida and Montana — have not taken up any temporary waivers from CMS designed to simplify Medicaid renewals. 

From pitching a merger with Amedisys, to naming a president of its Global Advantage division, here are eight updates on Optum that Becker's reported since May 17.

Medicaid disenrollments will drive a total decrease in spending in 2024, even as spending per beneficiary is set to increase, according to new CMS data. 

Aetna is seeking to intervene in a lawsuit filed by retired New York City employees seeking to block the payer's Medicare Advantage contract with the city from taking effect.