Payer

Oscar Health improved its year-over-year losses in the first three months of 2023. 

Oscar Health will exit the California individual ACA insurance market for plan year 2024 as part of a push to make its insurance business profitable. 

From Google Cloud launching an artificial intelligence-powered claims acceleration suite to CMS issuing a final rule to streaming the Medicare Advantage prior authorization process, here are eight prior authorization updates Becker's reported since April 6: 

Arkansas terminated Medicaid coverage for almost 73,000 people in April, including 44,667 people who had their eligibility extended during the COVID-19 public health emergency. 

Bright Health Group improved on its losses year over year and upped revenue in the first quarter of 2023. 

Medicare Advantage enrollment now represents half of total Medicare enrollment, according to a May 1 analysis from the Kaiser Family Foundation. 

Centene shareholders will vote on a pair of proposals that take aim at executive pay, the St. Louis Post-Dispatch reported May 9. 

A Connecticut medical practice's lawsuit alleging Centene failed to reimburse it for COVID-19 testing services has been thrown out after the practice missed a deadline to refile the case. 

New GLP-1 drugs to treat Type 2 diabetes and obesity can be expensive, but payer leaders said the costs aren't breaking the bank yet. 

More data is necessary to evaluate the quality of care Medicare Advantage beneficiaries with serious illnesses receive, a group of researchers wrote in the New England Journal of Medicine.