Eight Florida hospitals can pursue a lawsuit against Cigna after a federal appeals court on May 25 overturned a lower court's ruling in favor of the payer.
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The Washington state insurance commissioner is directing Cambia Health Solutions, parent company of Regence BlueShield, to correct claims in which members were "balance billed" for ambulance services.
Most major payer CEOs earned millions more than for-profit health system leaders in 2022.
Pittsburgh-based UPMC's insurance services division grew from 4,033,737 total members in the quarter ended March 31, 2022, to 4,505,128 members in the quarter ended March 31, 2023, according its financial report released May 25.
CVS Health is expecting Aetna’s operating income to decrease by up to $1 billion next year because the number of its Medicare Advantage members in four star plans has dropped significantly since last year, according to regulatory documents filed May…
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Forbes recognized eight payers on its annual list of "America's Best Employers for New Grads," released May 23.
On average, Wisconsin hospitals have the highest commercial payer mix in the country (78.1 percent), while Washington, D.C., hospitals have the lowest (47.9 percent), according to an April analysis from Definitive Healthcare.
More people will be uninsured in 2033 than in 2023 as Medicaid continuous coverage unwinds, and extended marketplace subsidies could be discontinued, according to the Congressional Budget Office.
Walgreens is asking a judge to overturn an arbitrator's $642 million award to Humana in a drug-pricing dispute between the companies.
Payers' price transparency files vary widely by size and number of billing codes, an analysis published in Health Affairs found.