Organizations representing payers say tougher auditing standards CMS will impose on Medicare Advantage plans could create higher premiums and fail to target fraud. Others say the new rule, which eliminates the fee-for-service adjuster, doesn't go far enough.
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CMS is opening an ACA special enrollment period for those losing healthcare coverage after the end of Medicaid's continuous enrollment provision.
State Medicaid departments had been waiting for more than a year for certainty of when the unwinding of Medicaid's continuous coverage provision would begin, according to Kate McEvoy, executive director of the National Association of Medicaid Directors.
A bipartisan group of senators are once again pushing for new regulations around the pharmacy benefit manager industry.
Blue Cross & Blue Shield of Rhode Island has expanded access to behavioral health services with three providers in the state.
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Payers are investing in social determinants of health and health equity for members and communities.
Cigna and Elevance Health are among the top companies for protecting consumer data, according to Just Capital's ranking of the "most just" companies.
UnitedHealth Group's philanthropic arm is putting $3 million toward a new partnership to address health inequity with Minneapolis-based Children's Minnesota.
From two insurers dropping legal challenges over Medi-Cal contract awards to Cigna suing over an executive's departure to a competitor, here are five lawsuits and settlements involving payers Becker's has reported since Jan. 4.
UCare is awarding grants to healthcare organizations across Minnesota to help them prepare for the impact of upcoming Medicaid redeterminations.