Centene has agreed to pay $19 million to the state of Washington and $13 million to the federal government to settle allegations it overcharged the state Medicaid program for pharmacy benefit management services.
Payer
Cancer has overtaken musculoskeletal conditions as large employers' biggest driver of healthcare costs, according to Business Group on Health’s "2023 Large Employers’ Health Care Strategy and Plan Design Survey."
Former UnitedHealthcare CEO Robert Sheehy founded Bloomington, Minn.-based health insurance startup Bright Health Group in 2016. The company's BrightHealthCare insurance line had a total enrollment of 970,000 as of June 30.
About 15 million people could lose Medicaid and Children’s Health Insurance Program coverage when the COVID-19 public health emergency ends, HHS said in an Aug. 19 report.
Blue Cross Blue Shield of Vermont has filed a federal lawsuit accusing Teva Pharmaceuticals of acting anticompetitively to force health insurers to pay billions of dollars for its "excessively priced" multiple sclerosis drug, Copaxone, Law Street Media reported Aug. 22.
Blue Shield of California President and CEO Paul Markovich told America's Health Insurance Plans Aug. 22 that three critical issues must be addressed by healthcare delivery systems to make them more effective in meeting consumer needs.
CMS is urging states to tie nursing home Medicaid payments to quality measures that will improve the safety and quality of care.
The following were the 10 highest paid CEOS at publicly traded health insurance companies in 2021, according to an Aug. 19 report from S&P Global Ratings.
John Hancock Life & Health Insurance will pay New York customers and their beneficiaries back nearly $21.6 million after a state investigation found the company prematurely terminated 156 long term care policies.
CMS on Aug. 18 proposed a rule that would require mandatory quality reporting for Medicaid and the Children’s Health Insurance Program (CHIP).
