Payer

If employers no longer cover certain preventive services, individuals could face higher out-of-pocket costs, while employers won't see a big effect on spending, a report from the Employee Benefits Research Institute found. 

From policy changes announced by UnitedHealthcare, to a final rule issued by CMS, here are seven key prior authorization updates Becker's has reported so far in 2023. 

GLP-1 drugs like Ozempic and Wegovy can help people lose weight but come with a steep price tag that makes employers reluctant to cover their cost. 

In June 2022, Anthem officially switched its name to Elevance Health, and launched new subsidiaries under the name.

Medicare could have overpaid hundreds of millions for genetic testing from 2018 to 2021, an audit from HHS' Office of Inspector General found. 

The nation's largest health insurers have suitable credit ratings to withstand mounting cost pressures driven by growing drug shortages, rising pharmaceutical costs and higher utilization of services post-pandemic, according to Fitch Ratings. 

The Michigan Department of Health and Human Services is taking advantage of new federal flexibilities to preserve Medicaid eligibility for residents who must complete renewal forms by the end of June.

Optum Rx will add more biosimilar competitors of expensive biologic Humira beginning July 1. 

Clover Health has reached settlement agreements in seven derivative lawsuits, resolving all remaining civil litigation that accused the company of misleading investors and committing securities fraud preceding its initial public offering in 2021. 

Humana will open seven new CenterWell primary care clinics in Tennessee this year.