Payer

Molina Healthcare reported double-digit growth in net income since the same period last year and raised its year-end earnings guidance, according to the company's first-quarter earnings posted April 26.

At Becker’s Hospital Review’s 2023 Payer Issues Roundtable, Olive’s UM Business Unit, which is now part of Availity, sponsored an executive roundtable to explore how AI and clinical data can streamline utilization management and create a foundation for broader healthcare…

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.