Payer

UnitedHealth Group's OptumRx arm has agreed to pay $15 million to settle prescription drug overcharging allegations in Ohio. 

Amazon Pharmacy will be the exclusive home prescription delivery service for Florida Blue members. 

Centene posted $738 million in net income during the third quarter and awarded Cigna's Express Scripts a PBM contract, according to the company's earnings report released Oct. 25.

Humana is reportedly exiting the Colorado group insurance market, Colorado Politics reported Oct. 24.

Pennsylvania lawmakers are considering a bill that supporters say will streamline the prior authorization process, CBS affiliate WHP reported Oct. 24. 

Payers are expanding Medicare Advantage plans to new markets for 2023, and many are facing increased scrutiny and legal action for overpayments.

Navigation difficulties were cited as the top reason beneficiaries switched their health insurance plans, according to an Oct. 18 report from the professional services company Accenture. 

Humana and Boston-based Cohere Health are expanding their partnership again to enable a digitized prior authorization process nationwide for cardiovascular and surgical services.

About a third, or 31.6 percent, of the 57 Medicare Advantage plans that earned five stars from CMS in 2023 are a part of the Alliance of Community Health Plans, a trade group representing nonprofit payers.

Elevance Health has expanded its home-based nursing management company, myNEXUS, to Medicare Advantage members in 15 states, CEO Gail Boudreaux said Oct. 19 during a call with investors.