Payer

Payers can do more to improve the usability of price transparency data, a group of researchers wrote in Health Affairs. 

Medicare Part D beneficiaries that don't receive low-income subsidies spend 2.5 times more out-of-pocket on "ultra-expensive" drugs than those with commercial insurance, a study published May 26 in JAMA Health Forum found. 

Medicaid work requirements were not included in a debt ceiling deal between President Joe Biden and House Speaker Kevin McCarthy, The New York Times reported May 29. 

CVS Health is expecting Aetna's Medicare Advantage star ratings to hurt its 2024 outlook, and the payer is investing in more value-based care. 

California has the most residents enrolled in self-insured health plans through an employer, while Wyoming has the least, according to a health coverage report published by insurance trade group AHIP in April.

Eight states have at least 1 million residents enrolled in Medicare Advantage plans, according to a health coverage report published by insurance trade group AHIP in April.

Utah has the highest percentage of residents enrolled in commercial health plans (68 percent), New Mexico has the highest percentage enrolled in Medicaid (28 percent), and Maine has the highest percentage enrolled in Medicare (22 percent), according to a health…

Eight Florida hospitals can pursue a lawsuit against Cigna after a federal appeals court on May 25 overturned a lower court's ruling in favor of the payer. 

The Washington state insurance commissioner is directing Cambia Health Solutions, parent company of Regence BlueShield, to correct claims in which members were "balance billed" for ambulance services. 

Most major payer CEOs earned millions more than for-profit health system leaders in 2022.