Payer

Texas Attorney General Ken Paxton filed a lawsuit against the Biden administration May 14, alleging that its decision to revoke a state Medicaid funding waiver was an unlawful "power grab." 

A bipartisan group of lawmakers introduced a new bill to reform prior authorization processes for Medicare Advantage plans.

CMS issued guidance May 13 outlining how states can use funding from the American Rescue Plan Act of 2021 for Medicaid programs.

The following payer executive changes were announced in May so far:

Oscar Health reported a $87.4 million net loss in the first quarter of fiscal year 2021, according to financial documents the insurer released May 13.

The Concord, Calif.-based Sutter Health and Aetna joint health plan announced it will offer fully insured products to Northern California employers in the 2022 enrollment season, a May 12 news release said. 

SelectHealth, the health insurance unit of Salt Lake City-based Intermountain Healthcare, is rebranding its pharmacy benefit manager.

Missouri notified CMS it is formally withdrawing its planned Medicaid expansion, the state governor's office said May 13. 

Cigna president and CEO David Cordani sold 62,123 shares of the payer's stock on May 7, according to Yahoo Finance.

Mississippi is the latest target for Medicaid expansion, according to Forbes.