The Consolidated Appropriations Act (CAA) of 2021 is long overdue legislation aiming to improve prescription drug price transparency and shed light on the role of pharmacy benefit managers (PBMs).
Payer
Seventy-four percent of Americans are worried about rising health insurance costs, according to a Nov. 14 survey from personal finance site ValuePenguin.
An Anthem Blue Cross member has gone viral on TikTok again after the payer reversed course on a $40,000 cancer treatment bill, the Wednesday Journal reported Nov. 21.
Ten providers — including HCA Healthcare and Orlando Health — recently posted job listings seeking leaders in payer contracting and relations.
About 8,000 contracted providers will begin receiving notices Dec. 1 that UnitedHealthcare is moving them to a new fee schedule, according to the California Medical Association.
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From CVS Health and Centene to several BCBS affiliates, this is where eight payer venture arms have recently invested:
UnitedHealth Group is adding new partnerships and striking contract deals, while its mergers and acquisitions continue to make the news.
Alabama has some of the most concentrated commercial insurance markets in the country, according to a report from the American Medical Association.
UnitedHealthcare is preparing for more members to join its ACA plans after Bright Health and Friday Health Plans have exited individual insurance markets in several states.
Newly released audits show Medicare Advantage plans overbilled the federal government by millions between 2011 and 2013, with some plans overbilling an average of more than $1,000 per patient per year, Kaiser Health News reported Nov. 21.