Prescription drug spending per member, before and after manufacturer rebates, grew faster for those with individual plans than for those enrolled in large group plans from 2015 to 2019, according to a new study published May 6 in the JAMA…
Payer
Kaiser Health News Editor-in-Chief Elisabeth Rosenthal, MD, penned an op-ed in the Los Angeles Times on April 19 arguing copay assistance and coupon programs from drug manufacturers are leading to higher premiums and deductibles.
Arizona Gov. Doug Ducey has signed legislation requiring payers to cover biomarker testing for cancer patients when there is a clinical need.
Sentara Health Plans will operate community care centers in Virginia and Northeastern North Carolina with the aim of improving care for the uninsured and Medicaid recipients in underresourced communities.
Some payers expanded this year to reach half of the U.S. population, while others were forced out of business in some states altogether. Here are seven recent payer moves to enter or exit markets:
Memorial Hermann Health System says Blue Cross Blue Shield of Texas owes it over $3 million in claims payments, according to federal court documents filed May 5.
The nation's largest payers have filed their first-quarter earnings reports, revealing which grew their revenues the most year over year.
Payers Humana, Cigna and Centene are among the top 50 companies for diversity in 2022, according to DiversityInc.
Senate lawmakers questioned HHS Secretary Xavier Becerra May 4 over when and how the Biden administration will take action against "junk plans," or short-term health plans that are not subject to certain rules under the Affordable Care Act.
Cigna reported over $44 billion in total revenues in the first quarter, with the strongest growth in the company's Evernorth business. Projected revenues at year end stand at $177 billion, according to the company's earnings report released May 6.
