Payer

Ten providers recently posted job listings seeking leaders in payer contracting and relations.

UPMC has the highest-ranked Medicare Advantage plan for customer satisfaction in 2024, according to J.D. Power's latest annual Medicare Advantage Study. 

A California bill aiming to reform prior authorization cleared one of the final hurdles for bills making their way to the governor's desk, according to the California Medical Association. 

Star ratings are an increasingly important factor in which plans Medicare Advantage beneficiaries choose, according to McKinsey and Company. 

Medicare Advantage plans are bracing for medical costs to keep rising, and preparing a "lobbying blitz" to defend the program in Washington, D.C. 

The average cost of employer-sponsored healthcare coverage is expected to jump 9% from 2024 to 2025, according to estimates from Aon Plc published Aug. 15. 

Humana will pay $90 million to settle allegations it submitted fraudulent bids for its Part D plans between 2011 and 2017. 

California has fined Anthem Blue Cross of California and its Medicaid subsidiary a total of $850,000 for illegally limiting coverage for gender dysphoria treatments.

Medicare spending could increase between $3.1 billion and $6.1 billion annually if the program covers GLP-1 drugs for weight loss, a study published Aug. 15 in Health Affairs found. 

L.A. Care is working to connect members in temporary care.