Payer

Health consumer engagement company Icario is launching a Medicaid redetermination service, designed at streamlining the re-enrollment process with many Medicaid beneficiaries set to lose coverage when the COVID-19 public health emergency ends. 

A new master's program at the Fayetteville-based University of Arkansas has been named after former Arkansas Blue Cross Blue Shield CEO Robert Shoptaw. 

Forty-three percent of working adults in the U.S. are inadequately insured, according to a Sept. 29 Commonwealth Fund report. 

Health insurers have responded to Hurricane Ian by authorizing prescription refills, waiving prior authorizations, and adding emergency resources and support. 

Centene will pay $14.2 million to Massachusetts, the latest state the Medicaid managed care organization has paid to settle allegations it overbilled state Medicaid programs for pharmacy services, Kaiser Health News reported Sept. 29. 

Molina Healthcare of Florida is suspending prior authorization requirements to assist members and providers affected by Hurricane Ian. 

The National Committee for Quality Assurance has named the top-performing Medicare plans of 2022 based on factors that include care quality, patient satisfaction and efforts to keep improving.

The National Committee for Quality Assurance has named the top-performing Medicaid plans of 2022 based on factors that include care quality, patient satisfaction and efforts to keep improving.

Nevada's public health plan set to launch in 2026 could save the state up to $1.3 billion in healthcare costs over the following decade, according to a state report released Sept. 23.

Utilization management (UM) has become a huge administrative burden for both providers and payers due to multiple data sources and manual processes. By using artificial intelligence (AI) technology and real-time data, all parties can significantly reduce current utilization management review…