Payer

HHS' Office of Inspector General has found several Medicare Advantage plans received overpayments in recent months. 

Humana had the largest Medicare Advantage membership growth in the first quarter of 2023, according to the company's earnings report. 

Clover Health boosted its insurance segment revenue and slightly improved on its losses in the first three months of 2023. 

Nearly 90 prior authorization reform bills have been introduced in 30 state legislatures this year, according to the American Medical Association. 

Preliminary results show Centene shareholders rejected a pair of proposals that took aim at executive pay, the St. Louis Business Journal reported May 10. 

Over 20 million women between the ages of 50 and 64 could lose access to cost-free mammograms if a court ruling striking down requirements for payers to cover preventive care at no cost is upheld, according to a report from…

Friday Health Plans will not accept new health plan enrollments in Colorado for the remainder of 2023 after an agreement was reached with the Colorado Division of Insurance. 

Virginia Premier will move its 300,000 Medicaid members to Optima Health on July 1.

The Minnesota Department of Commerce alleges that HealthPartners violated mental health parity laws by analyzing claims for mental health and substance abuse treatment more stringently than other types of care. 

Best practices for state Medicaid programs during the unwinding of continuous coverage requirements include strong communications, a bolstered workforce and transparent data, according to AHIP.