On June 21, the U.S. Supreme Court declined to hear UnitedHealthcare's appeal of a CMS rule meant to recoup Medicare Advantage overpayments from payers.
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The Justice Department said Molina Healthcare and former subsidiary Pathways of Massachusetts have agreed to pay a settlement of $4.625 million over allegations of False Claims Act violations and improper licensure and supervision of healthcare employees.
COVID-19 was the eighth-highest condition for stop-loss claims reimbursement, and there was a 354 percent increase in the total number of claims compared to 2020, according to a report published June 21 by Sun Life.
New Jersey state officials are no longer looking to claw back $34 million from Horizon Blue Cross Blue Shield of New Jersey for a service that allegedly was not provided to state employees through their health plan, Bloomberg reported June…
The Texas Supreme Court ruled 5-4 on June 17 that Blue Cross Blue Shield of Texas cannot receive a $3 million tax refund from its stop-loss policies that reimburse self-insured employers because they are a form of health insurance, according…
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Walgreens Health is partnering with Buckeye Health Plan to expand its Health Corners service to Medicaid members in five Ohio locations this summer.
Express Scripts' $25 insulin cap program has slashed patient cost-sharing in half and improved diabetes treatment adherence, according to a new study published June 16 by Cigna health services subsidiary Evernorth.
Health plan e-commerce site GetInsured will lead New Mexico's health insurance exchange BeWellnm as it looks for a new CEO.
Illinois Gov. JB Pritzker signed legislation June 15 that requires payers to cover continuous glucose monitors for diabetes patients beginning in 2024.
Anthem Blue Cross and Blue Shield is offering a plan through a Connecticut program that offers free healthcare coverage.