Aetna has agreed to pay up to $3.4 million to settle a proposed class-action lawsuit alleging it wrongly refused to cover patients' cancer treatment, Bloomberg Law reported March 6.
Payer
Humana is set to exit the commerical group medical insurance business, phasing out its employer group commercial medical products over the next 18 to 24 months. The exit leaves just under 1 million members who will need to shift to other…
People with long COVID-19 are at higher-risk for a number of adverse cardiovascular and pulmonary events, a study from Elevance Health found.
From issues with Texas' new physician gold-card rule, to 118 medical societies voicing strong support for proposed Medicare Advantage overhauls, here are eight stories about prior authorization Becker's has reported since Feb. 2:
Insurers are ramping up campaigns and adding staff to let Medicaid members know about redeterminations.
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An estimated 1 in 4 Medicaid beneficiaries have enrolled since February 2020, according to Kaiser Family Foundation.
These are five payers that reported net losses in 2022:
These are 18 recent policy changes made by CMS that have been reported by Becker's since Jan. 1:
Medicare Advantage differs from traditional Medicare in several aspects of care quality and cost, research published in the last year shows.
Medicare Advantage plans are not required to identify when payments claims were denied, hindering fraud, waste and abuse investigations, according to a new report from HHS' Office of Inspector General.