Payer

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. 

Pharmaceutical benefit managers are often choosing higher-priced options as biosimilar competitors to Humira hit the market, Bloomberg reported April 26. 

Humana posted a 33 percent increase in profits year over year and added more than 500,000 Medicare Advantage members in the past year, according to its first-quarter earnings posted April 26. 

The North Carolina Department of Insurance is suspending new enrollment in Friday Health Plans. 

A lack of data about Medicare Advantage plans means there are several unanswered questions about the program, according to an analysis from the Kaiser Family Foundation. 

AHIP launched a new advertising campaign blaming drug manufacturers for rising drug costs. 

Centene reported double-digit growth in profits for the first three months of 2023 and added more than 2 million members year over year, according to its first-quarter earnings posted April 25.

John Rex of UnitedHealth Group was the highest-paid CFO among prominent payer companies in 2022. 

Clover Health's stock could be delisted from Nasdaq, the company disclosed in a filing with the Securities and Exchange Commission.