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Payer

Florida's Department of Management Services is now accepting bids from payers to manage its $3.12 billion state employee health plan that covers about 170,000 people, according to Florida Politics.

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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…

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. 

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