Payer

Lawmakers are asking some of the nation's largest health insurers how they will handle preventive care after a judge struck down some requirements for payers to cover preventive services with no cost-sharing. 

A lawsuit alleging Florida's Medicaid program violated federal laws by denying coverage for incontinence supplies for adults with disabilities can proceed as a class action case, the Orlando Sentinel reported April 10. 

From both a payer and provider perspective, addressing patients' social determinants of Health (SDoH) plays a major role in the ability to keep costs down and deliver whole-person, value-based care.

Google and Microsoft are both rolling out new cloud-based care management platforms designed for payers that will support unlocking unstructured data and better member outreach.

Cigna is adding new price caps and transparency models through its pharmaceutical benefit manager, Express Scripts. 

President Joe Biden announced a plan to expand Medicaid and ACA coverage to Deferred Action for Childhood Arrivals program recipients.

The Humana Foundation is investing $1 million to boost mental health resources in Louisville, Ky., following a shooting that killed five people at a bank in the city and another shooting outside a community college that killed one person. Both…

From international ventures to BCBS plan purchases, these are eight payer market expansions reported by Becker's since Jan. 1:

EHR technologies need to include electronic prior authorization to be certified by HHS' Office of the National Coordinator for Health Information Technology, AHIP says. 

Medicare Advantage is growing in popularity — almost half of Medicare beneficiaries were enrolled in the program in 2022.