Payer

The Supreme Court upheld the Justice Department's decision to dismiss a whistleblower lawsuit alleging a UnitedHealth Group subsidiary overcharged Medicare. 

New York City Mayor Eric Adams is overriding the city comptroller's attempt to block the implementation of its contract with Aetna to administer a Medicare Advantage plan for 250,000 city retirees. 

California's Department of Managed Healthcare has fined Kaiser Permanente $450,000 for sending mailings with enrollees' private health information to incorrect addresses.

Humana is anticipating its medical loss ratio will be at the top end of its full-year projected range of 86.3 percent to 87.3 percent, according to a June 16 SEC filing. 

The Alliance of Community Health Plans is proposing a set of policies aimed at curbing misleading marketing in Medicare Advantage. 

The nation's retail pharmacy giants are playing an important role in Medicaid redeterminations through payer-agnostic outreach and education initiatives aimed at customers and employees in all 50 states.

More than 1 million people have been disenrolled from Medicaid coverage, according to June 12 data from KFF. 

Cigna is delaying a prior authorization policy and pursuing legal action to keep one of its former executives from joining CVS Health. 

CMS is projecting a 7.7 percent increase in private health insurance spending in 2023, driven by an increase in utilization and rising prices of medical care. 

Four in 5 adults with employer-sponsored insurance rated their coverage positively, but many also reported having problems with their insurance in the past 12 months, according to a survey from KFF.