Payer

A former Highmark Health employee is facing criminal charges for allegedly attempting to or withdrawing nearly $90,000 from eight member's health savings accounts, the Pittsburgh Tribune-Review reported June 26.

Humana said it will wind down its commercial group insurance over the next 18 to 24 months, and it shuttered its SeniorCare clinics in the first half of 2023. 

Colorado will ensure providers are paid for Friday Health Plans' members' care, the state's department of insurance said. 

Medicare Advantage enrollees with more chronic conditions are not more likely to switch to fee-for-service Medicare, a study published June 26 in JAMA found. 

UnitedHealthcare executives recently warned of rising healthcare utilization rates as they saw a higher-than-expected number of hip replacements, knee surgeries and other elective procedures. Analysts from UBS Group AG are suggesting that pickleball could be one factor driving the higher…

The majority of health plans surveyed in a report by the Pharmaceutical Strategies Group said they are "very concerned" about off-label use of medications for weight loss. 

The Cigna Group went through a rebranding and beat investor expectations in the first half of 2023. 

Colorado has canceled a set of hearings meant to probe payers and hospitals over rates, after payers met the state's public option price targets.

The economic burden of racial and ethnic disparities in healthcare access and quality is costing Massachusetts $23.5 billion every year across all major groups, according to a June study from the Blue Cross Blue Shield of Massachusetts Foundation and the…

In the first half of 2023, CVS Health named a new leader for Aetna, and the payer acquired key contracts in North Carolina and New York City.