Payer

Ahead of the beginning of open enrollment on the ACA marketplace, the Biden administration is touting 2023 as the most "competitive marketplace in history" for exchange plans. 

Colorado Insurance Commissioner Michael Conway says the state's Colorado Option — a state-sponsored plan requiring payers to sell plans at lower prices — was successful. Insurers say it hasn't reduced prices, the Colorado Sun reported Oct. 26. 

Humana is adding value-based kidney care from in-home provider Monogram Health.

Orange, Calif.-based Alignment Healthcare was founded in 2013 and now reaches more than 8 million Medicare-eligible seniors in dozens of counties nationwide.  

Cigna unveiled a new "vitality index" designed to measure multiple areas of population mental and physical health. 

The ACLU of Rhode Island has filed a lawsuit against UnitedHealthcare of New England and the Rhode Island Public Transit Authority over a 2021 data breach that compromised the data of more than 20,000 former and current state employees, the…

CMS is still seeking input on the effects of waivers and flexibilities provided during the federal public health emergency. The deadline is Nov. 4. 

A report from the House Oversight Committee found that the nation's five largest insurers, and 4 out of 5 of the largest pharmaceutical benefit managers, routinely require cost-sharing for certain contraceptives or exclude them from coverage altogether. 

State Medicaid agencies are preparing for reduced enrollment and federal funding as the federal public health emergency is slated to end soon. 

Aetna will offer a free subscription to Apple Fitness+ to its 3.2 million Medicare Advantage members starting next year.