Payer

Elevance Health is expecting many members who have lost Medicaid to transition to other forms of coverage, executives told investors on a second-quarter earnings call. 

California's health plan costs for state employees and retirees are rising at an "unsustainable" rate, state officials said. 

HHS' Office of Inspector General raised concerns about the rate of prior authorization denials in Medicaid managed care and a lack of state oversight of these denials in an audit published July 17. 

Elevance Health posted double-digit revenue growth and beat investor expectations in the second quarter of 2023, according to the company's earnings report published July 19.

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.