Bipartisan legislation was introduced May 24 in the Senate that would allow the Federal Trade Commission to increase drug pricing transparency and suppress pharmacy benefit manager practices such as spread pricing and payment clawbacks.
Payer
The American Medical Association criticized the health insurance industry May 24 for what it says are slow or ineffective prior authorization reforms implemented over the last four years, despite payers agreeing to changes aimed at improving care access and efficiency.
From earning a spot on the Fortune 500 to signing definitive agreements to sell Magellan Rx and Pantherx Rare, here are eight headlines about the St. Louis-based payer:
Medicare Advantage is likely to be the dominant source of Medicare coverage by 2025. This recent development will force payers and providers to find new ways to set Medicare Advantage reimbursement rates and will reimagine the role that traditional fee-for-service…
Decisions by payers such as what markets to participate in or how to design coverage plans in Affordable Care Act marketplaces may be contributing to fewer insurance options for racial and ethnic minorities, according to a study published April 27…
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Centene's Sarah London is the fifth-youngest CEO of a Fortune 500 company, according to Fortune.
A group of 26 House Democrats are asking Senate Majority Leader Chuck Schumer and Speaker of the House Nancy Pelosi to fast-track legislation to extend ACA premium subsidies, Politico reported May 23.
Blue Cross Blue Shield of Wyoming and Eden Prairie, Minn.-based Itiliti Health are partnering to create a cloud-based automatic prior authorization system for providers.
Empire BlueCross Blue Shield executives and New York City leaders cut the ribbon May 24 on the company's new headquarters in midtown Manhattan.
Kansas' Medicaid contracts won't be negotiated until at least Jan. 31, 2023, after state lawmakers overrode the governor's attempt to resume the talks, the Kansas City Star reported May 23.