Payer

A group of 24 lawmakers expressed concern Express Scripts could be limiting Tricare beneficiaries' choice of pharmacies. 

Texas has fined Cigna $600,000 for failing to comply with multiple independent claims dispute resolution requirements under state law. 

 In 2023, gross margins per member were highest in the Medicare Advantage market, and medical loss ratios were lowest in the individual market, according to a July 2 analysis from KFF.

The Massachusetts Department of Public Health has launched an initiative that redirects patients not needing emergency-level care to urgent care providers to address "severe capacity challenges" at hospital emergency departments in the eastern part of the state.

Seven additional Medicare Advantage contracts picked up five-star ratings from CMS after the agency recalculated its ratings for 2024. 

Here are 10 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since June 17: 

Payers are "crucial allies" in improving data gathered from clinical trials, researchers at the FDA and Philadelphia-based University of Pennsylvania wrote in a special communication published in JAMA July 1. 

Humana provides the best customer experience to its members, according to Forrester's "U.S. Health Insurers Customer Experience Index Rankings" for 2024.

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

The average cost of health insurance for small-business owners is on the rise, according to a report from JPMorganChase.