Optum has launched a comprehensive laboratory benefit management solution aimed at helping payers reduce unnecessary lab testing and ensuring that members can receive high-quality tests most appropriate for them.
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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.
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…
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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…
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.