Payer

Eli Lilly is now the largest healthcare company in the world by market value, surpassing UnitedHealth Group, Bloomberg reported July 5. 

Ohio Gov. Mike DeWine signed the state's budget, which includes language requiring the state to ask the federal government if it can impose Medicaid work requirements, cleveland.com reported July 6. 

Squabbles over the state's budget could delay implementation of Medicaid expansion in North Carolina. 

Elevance Health has achieved a drastic reduction in youth and young adult suicides through predictive modeling and clinical outreach.

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

Medicare Advantage profits will likely be stable in 2023 but could face pressure from rising utilization rates in 2024, according to commentary from AM Best published June 30. 

A Kraft Heinz Co. employee benefits group representing employees, retirees and their dependents is suing Aetna for allegedly breaching its fiduciary duties and using its role as third-party claims administrator "to enrich itself to Kraft Heinz's detriment."

New regulations for inpatient services in Medicare Advantage are looming, and new research has found MA enrollees with chronic conditions are likely to stay enrolled in the programand spend less time in the hospital than their fee-for-service counterparts. 

State employee health plans are often the largest commercial purchaser of healthcare in each state, according to a report from the Center on Health Insurance Reforms at Georgetown University in Washington, D.C. 

Medicare Advantage members are less likely to be prescribed high-risk medications than their counterparts in fee-for-service Medicare, a study published June 27 in JAMA Health Forum found.