Payer

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

Throughout October, we’ll see splashes of pink all around us. Professional athletes will don pink socks and pink ribbons will line streets during neighborhood 5Ks. 

Of the 1,019 health plans rated by the NCQA in 2024, 13 received a rating of 2 stars or lower. 

Insurers, health systems, state health plans and self-funded employers are all grappling with how to cover the high cost of GLP-1 medications, with some large organizations limiting coverage or dropping benefits entirely in 2024.

With Medicaid redeterminations complete in most states, Medicaid enrollment has decreased by 14.3% from March 2023, according to KFF. 

CVS Health's board of directors approved a $0.665 per-share dividend to be paid Nov. 1. 

Three commercial plans received five-star ratings from the National Committee for Quality Assurance. 

During the upcoming annual enrollment period, seniors should opt for traditional Medicare over Medicare Advantage, according to seasoned healthcare executive Stacy Mays.

Cigna Healthcare is exiting Medicare Advantage markets or making service area reductions in eight states for 2025, according to a Sept. 18 post from insurance brokerage firm Pinnacle Financial Services.

West Virginia residents who receive health coverage on the ACA exchange receive the largest premium subsidies on average, while Minnesota residents receive the least, according to an analysis from KFF.