Payer

The Mississippi State Auditor's Office is investigating OptumRX, UnitedHealth Group's pharmacy benefits manager, for allegedly overbilling the state's Medicaid program for prescription drugs, the Clarion Ledger reported June 21.

Kaiser Foundation Health Plan is the Medicare Advantage Plan members are most satisfied with, according to J.D. Power's 2021 U.S. Medicare Advantage Plan Study, released June 17. The study is based on the responses of 3,359 Medicare Advantage members across…

Medicaid enrollment reached an all-time high of 74 million members during the pandemic, a result of a rule change featured in Congress' first coronavirus relief law last year, according to The Washington Post.

Nevada Gov. Steve Sisolak signed a bill earlier this month making the state's managed health insurance program a public option that will be available for purchase in 2026. Nevada is the second state to enact a public option in response…

Michigan health insurer Priority Health launched an electronic portal to streamline the preauthorization process for its members.

It's been 11 years since the Affordable Care Act was implemented. Here are four things to know:

Here's how these seven Fortune 500 health insurance companies ranked according to membership in the first quarter of 2021:

Anthem's IngenioRx was established in 2017. Here are five things to know about the pharmacy benefits manager:

The Blue Cross Blue Shield Association and UnitedHealth Group settled a trademark dispute that concerned an acronym used by both organizations, according to court documents.

Humana will continue to provide Medicare coverage to West Virginia's 54,000 retirees under a new four-year contract with the state's Public Employees Insurance Agency effective Jan. 1, 2022, according to a June 15 news release.