Payer

With Biogen gaining FDA approval for its Alzheimer's drug, aducanumab, questions have started to swirl around how health insurers will cover the $56,000-a-year treatment.

OptumCare is the direct patient care segment of UnitedHealth giant Optum. Here are four things to know:

New York City public-sector unions are proposing a plan to switch Medicare beneficiaries to privatized health insurance through Medicare Advantage as early as July 1, a move that would affect 200,000 retirees, according to The Intercept.

32BJ SEIU, a labor union in New York, has removed NewYork-Presbyterian from its network, citing high healthcare costs, according to Politico. 

James Reed officially became CEO of Excellus BlueCross BlueShield last month, succeeding Christopher Booth, who retired. Mr. Reed spoke with Becker's about what he's bringing to the new role and his priorities for the organization as employees return to the…

Georgia needs to revisit a waiver granted by the Trump administration that allowed the state to use a private-sector alternative to the ACA's healthcare.gov insurance exchange, the Albany Herald reported.

Payer and provider organizations across the country urged CMS to include audio-only visits in Medicare Advantage risk-adjustment policies.

The Wisconsin Department of Health notified 2,868 Medicaid recipients that their personal information may have been compromised after a hacker gained access to an email account, according to a June 4 We Are Greenbay article, a CBS affiliate.

Mississippi's state auditor and former attorney general launched an investigation into Blue Cross and Blue Shield of Mississippi's former pharmacy benefit manager, Prime Therapeutics, in 2019, according to the Daily Journal on June 6. 

HHS announced 31 million people currently have health coverage through the Affordable Care Act and Medicaid expansion, a record high.