Payer

Some of CMS' proposed Medicare Advantage risk adjustment changes will shift resources away from underserved populations, Oak Street Health says.

Humana has completed a $1.25 billion debt offering. 

Payers and providers have expressed concerns about CMS' proposed changes to Medicare Advantage risk adjustments and diagnosis coding. 

The Medical Group Management Association said it wants to see shorter prior authorization time frames when CMS finalizes its proposed reform rule. 

The majority of physicians say prior authorization requirements are a large burden and lead to worse patient outcomes, according to a March 13 survey from the American Medical Association.

Priority Health's net income in 2022 was nearly three times higher than earnings recorded in 2021, MiBiz reported March 10.

Aetna is acquiring new Medicare Advantage and state Medicaid contracts. Here are seven updates about the Hartford, Conn.-based payer Becker's has reported since Feb. 8. 

New weight loss drugs could cost Medicare billions of dollars each year if the program is required to cover them, public health experts wrote March 11 in the New England Journal of Medicine. 

Two senators are asking CMS to address loopholes in its price transparency rule for payers that they say have allowed the industry to "evade accountability."

From completing its acquisition of LHC Group to ranking as the largest insurance company by market cap, here are eight updates about UnitedHealth Group that Becker's has reported since Feb. 13: