Payer

Lawmakers are seeking more information about claims denials from the largest Medicare Advantage insurers. 

From organizations pushing back against its new gastroenterology endoscopy prior authorization policy, to its CEO seeing the largest percentage increase in compensation between 2021 and 2022 among large payers, here are 11 updates on UnitedHealth Group Becker's has reported since…

Payers have been required to post pricing information online for covered items and services since July, but several limitations exist to providing the true cost of care to patients, according to researchers at Elevance Health.

Health Care Service Corporation, the parent company of BCBS Illinois, Texas, New Mexico, Oklahoma and Montana, posted a net income of nearly $1.5 billion last year, according to the company's 2022 annual report published May 15.

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

From the promotion of two senior executives, to reporting double-digit growth in net income in the first quarter of 2023, here are eight updates on Molina Healthcare that Becker's has reported since March 17. 

Payers are expecting to issue a total of about $1.1 billion in medical loss ratio rebates across all commercial markets in 2023, according to preliminary estimates published May 17 by KFF.

State insurance commissioners and federal lawmakers are raising concerns with Cigna's internal claims review process following reporting from ProPublica in March that said the payer denies large batches of claims without reviewing them first.

Malignant neoplasms accounted for the most expensive claims for self-insured employers in 2022 and during the last four years, according to a May report from Sun Life, a life and health insurance provider.

Utah is the healthiest state in the nation for older adults in 2023, according to the United Health Foundation's 11th annual "America's Health Rankings Senior Report."