Payer

Most city- and state-level commercial prescription drug markets are highly concentrated, with one pharmacy benefit manager controlling a large share of the market, a report published Oct. 13 by the American Medical Association found. 

CMS is considering adding more qualifying conditions for Medicare-covered dental treatment, Kaiser Health News reported Oct. 17. 

Mark Cuban's online pharmacy, Cost Plus Drug Co., has picked up another partner to help it enter the specialty drug market.

Cigna is being sued by the Justice Department for allegedly making its Medicare Advantage members appear sicker than they were by submitting false diagnosis codes to the government in order to receive higher reimbursement rates.

Apple will reportedly enter the health insurance business in 2024 in partnership with a major payer, Forbes reported Oct. 18.

Despite little growth in the cost of medical services over the last year, inflation has finally caught up with healthcare.

California's first-ever Medicaid managed contract procurements are a major shakeup in the state's Medi-Cal system, which has over 12 million enrollees, or a third of California's population. 

Medically tailored meals could result in large cost savings for payers, a study published Oct. 17 in JAMA Network Open found. 

UnitedHealthcare Community Plan of Texas will invest $5 million in a new facility offering medical and nonmedical assistance to individuals with disabilities, the insurer said Oct. 17.

Here are 13 plans that have announced they are launching new Medicare Advantage plans or expanding current offerings since Oct. 4.