Payer

CVS Health's new CEO is prepared to make "hard choices" to turn around Aetna's performance. 

South Dakota voters have approved a ballot measure that allows state officials to consider work requirements for Medicaid expansion recipients, South Dakota Spotlight reported Nov. 6. 

Medicare Advantage insurers' stocks rallied upon news of Donald Trump's impending return to the White House, Bloomberg reported Nov. 6. 

California voters approved a measure Nov. 5 to make an existing tax on managed care plans permanent to help fund Medi-Cal, Cal Matters. 

Medicare Advantage plans were paid more than $1 billion for veterans who did not use any Medicare services, according to a study published in the November issue of Health Affairs. 

From Blue Shield of California partnering with Salesforce to a Senate report accusing Medicare Advantage plans of intentionally using prior authorization to boost profits, here are seven prior authorization updates Becker's has reported since Oct. 1: 

Utah had the highest percentage of residents covered under employer-sponsored health plans last year, according to an analysis from KFF.

Payers are expanding their reach into home healthcare. 

Alignment Health is one of the highest-quality Medicare Advantage plans in the nation, a distinction attributed to a company-wide commitment to exceptional care and performance tracking.

Minnesota's Attorney General has reached a settlement with Blue Cross and Blue Shield of Minnesota regarding accessibility of mental health services.