Payer

The American Medical Association Dec. 20 outlined how advocates in Michigan were able to successfully lobby state lawmakers to pass prior authorization reform legislation.  

Fitch Ratings is expecting U.S. health insurers to weather the effects of high inflation and rising interest rates amid its expectation of a mild recession in 2023.

As the year draws to a close, lawmakers and advocates are discussing ways to improve Medicare Advantage in the future and tackling issues around prior authorization and marketing. 

COVID-19 testing drove a 17 percent increase in Medicare spending for lab tests in 2021, according to the HHS inspector general's office. 

From the death of its longtime CEO, to the acquisition of Magellan Health, here are 10 key stories about Centene that Becker's reported in 2022:

Congress' omnibus legislation to fund the government through September will allow states to begin reevaluating Medicaid eligibility in April 2023, The Washington Post reported Dec. 20. 

From a clash with the Justice Department over its acquisition of Change Healthcare to a collaboration with Walmart, here are 10 key stories about UnitedHealth Group that Becker's reported in 2022:

Patina Health, a startup providing in-home care for older adults, is expanding to Aetna, UnitedHealth and Cigna Medicare Advantage members, The Philadelphia Inquirer reported Dec. 19. 

UnitedHealth Group, CVS Health, Elevance Health and Cigna have been named world leaders for corporate sustainability on the 2022 Dow Jones Sustainability Indices.

Centene has paid at least $307.5 million in 2022 to settle allegations it overbilled state Medicaid programs for pharmacy services.