New Jersey will soon begin the process of reorganizing Horizon Blue Cross Blue Shield's nonprofit business structure.
Payer
The newest member of the Federal Trade Commission, Alvaro Bedoya, told the Minneapolis Star Tribune it is his "personal top priority" that the agency's probe into the pharmacy benefit manager industry is "conducted as rigorously as possible."
The Inflation Reduction Act, signed by President Joe Biden on Aug. 16, includes several changes to Medicare drug pricing — some of which may increase Medicaid drug spending, according to Kaiser Family Foundation.
Here are seven recent headlines involving CMS Becker's has reported since Sept. 1.
From launching new health plans to partnering with existing payers, more startups are moving into the health insurance space. Here are six startups Becker's has reported on since Aug. 1.
The No Surprises for Survivors Act was introduced Sept. 19 in the House of Representatives and would require commercial payers to fully cover forensic exams for sexual assault victims.
A federal judge dismissed a lawsuit from GS Labs accusing Minnesota-based health insurer Medica of withholding more than $10 million in payments for COVID-19 tests, Minnesota Public Radio reported Sept. 21.
Fee-for-service Medicare members spend about 7 percent more on average for healthcare compared to Medicare Advantage members, according to a study published Sept. 21 by AHIP.
To curb the rising costs of paying for employee healthcare, employers should move away from consultants and bring healthcare spending decisions in-house, a group of policy researchers write in Health Affairs.
The HHS Office of Inspector General found states frequently pay capitation benefits for Medicaid beneficiaries enrolled in multiple states.
