Payer

Health insurers are covering between 61 percent and 74 percent of the costs of ivermectin, a treatment for parasites in humans and animals, despite guidance from the FDA that it should not be used to treat COVID-19.

The state of Georgia is suing HHS after the agency implemented changes that removed a requirement for Medicaid beneficiaries to work in order to be eligible for coverage, Bloomberg reported Jan. 21. 

Anthem Blue Cross Blue Shield named Robert Bunch president Jan. 20, but the move comes as the payer potentially faces a new opponent in its legal battle against Atlanta-based Northside Hospital System, according to 11Alive. 

The coverage gaps created by the Biden administration's at-home COVID-19 test coverage guidelines doesn't solve barriers for a population that faces already-increased risks: Medicare beneficiaries, according to a Jan. 24 Kaiser Health News report. 

HHS' Office of the National Coordinator for Health Information Technology is looking for public comments on prior authorization to help guide standards, implementation and certification. 

GS Labs is responding to a July 2021 lawsuit from Blue Cross and Blue Shield of Kansas City with a counterclaim that alleges the payer violated federal antitrust laws and conspired with other affiliated companies to withhold payments. 

Oscar Health is providing members with an enhanced virtual cost estimation tool in an effort to increase medical cost transparency. 

UnitedHealth Group may be slated to give more attention to home-based care, company executives said during a Jan. 19 earnings call. 

Six of the nation's 13 largest payers currently offer direct coverage for at-home COVID-19 tests, according to a Jan. 20 Kaiser Family Foundation study. 

The prices commercial insurers pay to providers continues to grow higher than the price set by Medicare's fee for service program, according to a report from the Congressional Budget Office.