Payer

Minnesota has awarded contracts to nine payers to manage the state's Medicaid program, the state's human services department said Oct. 5. 

Humana is expanding its Medicare Advantage plans to Rhode Island, offering plans for 2023 in Bristol, Kent and Newport counties, the insurer said Oct. 5. 

America's Health Insurance Plans President and CEO Matt Eyles said his organization and member plans are reviewing the latest Medicare Advantage star ratings to "assess impacts."

A trio of authors outlined proposed improvements to the prior authorization process for Medicare Advantage in an opinion piece published in JAMA Network Oct. 3. 

Horizon Blue Cross Blue Shield of New Jersey executives urged state regulators to approve changes to its corporate structure, the Asbury Park Press reported Oct. 7. 

The average star rating for Medicare Advantage plans decreased for 2023, after CMS implemented methodology changes in the way contracts are rated and ended most pandemic-era provisions.

Mark Cuban's online pharmacy, Cost Plus Drug Co., is grabbing the attention of insurers, and the company has now nabbed its first payer partner, Capital Blue Cross. 

Blue Cross and Blue Shield of North Carolina is working with nonprofit Green & Healthy Homes Initiative to help minimize the risk of in-home falls, the insurer said Oct. 5. 

In the two months since President Joe Biden signed an executive order encouraging states to use Medicaid to help cover costs for people who cross state lines for abortions, none have acted on the offer, Politico reported Oct. 4. 

Here are 11 recent stories Becker's has covered about the insurer and its parent company, CVS Health, since Sept. 20: