Payer

Employers expect the costs of providing health insurance to their employees to rise, a survey from Willis Towers Watson found.

Cigna has joined other payers in covering a noninvasive neurostimulation device from BrainsWay that treats obsessive-compulsive disorder.

Here are what leaders of five organizations said following the House of Representatives' unanimous passage Sept. 14 of a bill to reform the Medicare Advantage prior authorization process. 

It’s a familiar pattern with payers, the provider wins a front-line appeal, then a myriad of payer reviews occur and result in more denials.

Capping cost-sharing each month, rather than on an annual basis, could result in savings for consumers, a new research brief published in JAMA Network Open found. 

Medicare Advantage plan star ratings hit their highest-ever levels in 2022 — but plans shouldn't expect these increases to continue, McKinsey analysts warn. 

From Medicare Advantage providers denying access to care unnecessarily to the nation's organ transplant network being vulnerable to a cyberattack, these are 10 recent findings from HHS' Office of the Inspector General:

Humana executives told investors Sept. 15 it's looking to match or exceed other payers that have outpaced it in Medicare Advantage growth over the last year, WDRB reported.

UnitedHealth Group defeated a class-action lawsuit from more than 200 physicians who said they were not paid facility fees for office-based surgeries, Bloomberg Law reported Sept. 15. 

Texas has the highest percentage of uninsured residents in the country and Massachusetts has the lowest, according to American Community Survey data released Sept. 15 by the Census Bureau.