Payer

A pair of senators have introduced a bill to improve the "Medicare & You" handbook after hearing complaints about seniors inadvertently selecting plans that do not best meet their healthcare needs. 

Gold-card programs give providers exemptions from certain prior authorization requirements, but providers who have discontinued these programs have found them administratively difficult to implement, according to a Nov. 14 America's Health Insurance Plans survey. 

Providers using EHRs that aren't enabled for electronic prior authorization and the cost to upgrade to EHRs that have that capability are the main barriers preventing automated PA, according to a Nov. 14 America's Health Insurance Plans survey. 

Humana completed its public offering of $1.25 billion in senior notes, the payer said Nov. 22. 

"Gold card" programs that give providers exemptions from certain prior authorization requirements have received mixed reviews from payers, according to a Nov. 14 America's Health Insurance Plans survey. 

Genetic testing, specialty drugs and high-tech imaging are some of the most common treatments that require prior authorization, according to a Nov. 14 survey from AHIP.

Medicare Advantage premiums have risen for the first time in four years, and less enrollees are choosing $0 premium plans, according to a new report from online insurance marketplace eHealth.

Bright Health Group has granted its top executives retention bonuses in the form of equity awards, as the company ends most of its insurance business and prepares for layoffs, the Star Tribune reported Nov. 22. 

Humana is expanding its primary care business, CenterWell, and adding partnerships with new services for members. 

The National Association of Medicaid Directors has told congressional leaders that a clearer picture is needed surrounding the end of the COVID-19 public health emergency's Medicaid continuous enrollment requirement.