Payer

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. 

From UnitedHealthcare backing off a gastroenterology endoscopy policy, to the American Medical Association raising concerns about the use of artificial intelligence, here are nine updates on prior authorization Becker's has reported since May 11:  

The American Medical Association is raising concerns about the use of artificial intelligence to review claims for prior authorization. 

Just two states — Florida and Montana — have not taken up any temporary waivers from CMS designed to simplify Medicaid renewals. 

From pitching a merger with Amedisys, to naming a president of its Global Advantage division, here are eight updates on Optum that Becker's reported since May 17.

Medicaid disenrollments will drive a total decrease in spending in 2024, even as spending per beneficiary is set to increase, according to new CMS data. 

Aetna is seeking to intervene in a lawsuit filed by retired New York City employees seeking to block the payer's Medicare Advantage contract with the city from taking effect. 

UnitedHealthcare is seeing rising utilization as more older adults seek out services they delayed during the COVID-19 pandemic, Barron's reported June 14. 

Empire BlueCross BlueShield and Empire Blue Cross will rebrand as Anthem Blue Cross Blue Shield and Anthem Blue Cross in 2024.