Payer

Centene topped the list of six major payers for Medicaid membership and growth in the first quarter of 2023. 

Georgia has named Cheryl Gardner as the director of the state's newly-created ACA exchange, Georgia Access. 

Cigna had the largest growth in commercial membership in the first quarter of 2023, while Elevance Health had the largest total commercial member base. 

California Gov. Gavin Newsom is proposing upping Medicaid reimbursement rates for certain providers. 

Several Blue Cross Blue Shield companies operated on thinner margins in 2022 than in previous years, as the waning COVID-19 pandemic drove up medical utilization and costs. 

Medicare Advantage and traditional Medicare can differ on clinical quality and costs, but most enrollees are equally satisfied with their coverage, studies published in the last few months have found. 

A reverse stock split approved by Bright Health's shareholders took effect May 22, according to Seeking Alpha. 

The Cigna Group reported $1.3 billion in profit in the first quarter of 2023 and named new executives and board members. 

Some Medicare beneficiaries received dozens of at-home COVID-19 tests they did not request as fraudsters rushed to exploit government coverage of the tests before the public health emergency expired, KFF Health News and NPR reported May 18. 

New drugs such as Ozempic and Wegovy have exploded in popularity for weight loss, but insurers and employers say there is still low interest in covering them because of the high cost.