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:
Payer
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.
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Elevance Health is the latest insurer challenging CMS' 2025 Medicare Advantage star ratings.
At least three major insurers are eliminating broker commissions for some Medicare Advantage plans.
Open enrollment for individual plans on the ACA exchange begins Nov. 1.
From star rating lawsuits to a record antitrust settlement, here are eight lawsuits, settlements and legal developments involving payers that Becker's has reported since Oct. 3:
The Cigna Group posted a net income of $739 million in the third quarter of 2024, which included a non-cash after-tax investment loss of $1 billion related to VillageMD, according to its Oct. 31 financial report.