Iowa Insurance Commissioner Douglas Ommen is calling on a state court to block a Pennsylvania payer from hiking long-term care plan premiums while slashing benefits, according to the Iowa Capital Dispatch.
Payer
The Labor Department clarified rules on covering HIV treatment preexposure prophylaxis July 2021 in an effort to encourage payer compliance, but rollout is still slow six months later, according to CNN.
Cigna is looking to create $12 billion in value throughout 2022, starting with a plan to buy back $6 billion in stocks.
UnitedHealth Group is beginning to act on its November promise to shore up its sustainability efforts by halting its mailing paper of prior authorization and clinical decisions to providers, according to a Feb. 25 post on the California Medical Association…
Physicians for a National Health Program is calling CMS' new Accountable Care Organization Realizing Equity, Access, and Community Health Model "direct contracting in disguise," according to a Feb. 24 news release shared with Becker's.
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A Kentucky judge ruled in favor of Anthem BlueCross & BlueShield after a transgender member accused the payer of unjustly denying coverage of gender-affirming facial surgery, according to Bloomberg Law.
Since the implementation of the ACA, uninsured rates for Black Americans have dropped 40 percent, according to a Feb. 23 HHS report.
Clover Health hit nearly $1.5 billion in year-end revenue for 2021, but also reported $588 million in losses on the year.
From BlueCross BlueShield of Tennessee signing on to a healthcare technology innovation alliance to UnitedHealth Group's Optum launching a new specialty drug management solution, here are five recent payer partnerships and expansions:
UnitedHealthcare dodged a Texas court order that could have required it to disclose rates it negotiated with providers.