Payer

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. 

Blue Cross Blue Shield of Arizona has launched a new primary care company, Prosano Health Solutions.

Georgia's Medicaid work requirement program is set to begin July 1. Here are five things to know about the program:

The Blue Cross and Blue Shield Association is suing a specialty care management company in Texas for using a logo it says infringes upon and dilutes the BCBS brand.

Oscar Health published a glimpse into how the payer uses AI. 

Health plans for state employees are often the largest commercial healthcare purchasers in their state, but these bargaining powers are not translating to lower costs, according to a report from the Center on Health Insurance Reforms at Georgetown University in…

Medicare Advantage beneficiaries with three common chronic conditions spend less time in the hospital than their counterparts in fee-for-service Medicare, an industry-backed report found. 

Michigan said it would pause Medicaid disenrollments through July, and more states could follow, The Washington Post reported June 29. 

Centene CEO Sarah London says behavioral healthcare services are one of the areas where costs are growing the fastest.

No single source of information exists where consumers can view how often a specific health plan denies coverage for in-network and out-of-network claims, but state and federal agencies have the ability to change that, according to a June 28 ProPublica…