The majority of fee-for-service Medicare and Medicare Advantage members largely don't understand their coverage policies, leading to the widespread risk of enrollees who are in plans that don't fit their health or financial needs, according to a new report from…
Payer
UnitedHealthcare affiliate Bind is changing its name to Surest, with the full rollout expected to be completed Jan. 1, 2023.
Though the U.S. health insurance industry saw gains in 2021, underwriting profits declined 65 percent to $23.9 billion, according to a report published July 6 by AM Best.
Pharmacy benefit managers help bring medication costs down and improve care outcomes, but they are being scapegoated for the nation's high drug prices, an op-ed published July 11 in the The Wall Street Journal argues.
From the Justice Department pursuing legal action against several major payers and providers for alleged fraudulent risk adjustment coding practices, to payers looking to expand their markets despite more federal scrutiny, here are nine headlines about Medicare Advantage since June…
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As of July 1, Maine immigrants under 21 and those who are pregnant can now receive benefits through the state's Medicaid program and Children’s Health Insurance Program, the Maine Beacon reported July 11.
UnitedHealth Group is committing $25 million to the Healthy Neighborhoods Equity Fund II to help finance mixed-use developments in three Massachusetts communities.
A formulary is in the works, and potential clients have a "very strong interest" in a pharmacy benefit manager from Mark Cuban's generic drug company, Cost Plus Drug Co.
Independence Blue Cross is partnering with Philadelphia-based Cocolife.black and Cayaba Care to address racial disparities in maternal health.
Centene's California-based subsidiary Health Net was recently recognized by the Institute for Medicaid Innovation for its work to reduce health inequities during the COVID-19 pandemic.