Payer

Elevance Health posted $2 billion in profit in the first quarter of 2023, according to its earnings report published April 19. 

Bright Health Group is trying to sell its California Medicare Advantage business, a move that would effectively end all of the company's insurance business. 

Medicare could have saved $128 million in duplicate claims payments with a better data-sharing agreement with the Veterans Health Administration, according to an audit from HHS' Office of Inspector General. 

Most private payers do not cover new drugs meant to treat obesity, but Medicaid programs in a few states do, Bloomberg reported April 27. 

Georgia is paying hackers to break into Georgia Gateway — the system residents access for programs like Medicaid — to search for vulnerabilities, The Atlanta Journal-Constitution and Axios reported April 27. 

Legislation that would allow Blue Cross and Blue Shield of North Carolina to reorganize, adding a nonprofit parent holding company, is moving ahead in the state's House of Representatives. 

Elevance Health CEO Gail Boudreaux was paid 383 times more than the company's median employee in 2022. 

Insurer groups say hospitals are to blame for higher costs of specialty drugs, while hospitals say the problem stems from drug manufacturers and pharmaceutical benefit managers. 

Ensuring adequate coverage across provider networks is a top priority for health plans that want to stay competitive and offer a positive member experience. But for patients to benefit from plan coverage, they first need access to accurate and transparent…

Centene posted $1.1 billion in profit in the first quarter of 2023 in its earnings report filed April 25.