Two Cigna members have filed a class-action complaint against their insurer for allegedly denying large batches of members' claims without individual review, thereby denying them coverage for certain services.
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A combination of Medicaid redeterminations and a sluggish economy is expected to slow commercial enrollment in the health insurance sector and negatively impact earnings in the second half of 2023, according to a July analysis from Moody's shared with Becker's.
UPMC Health Plan has launched its Health Access Initiative for Recovery program, which will provide mental health services to Medicaid enrollees in barbershops and hair salons.
The nation's largest payers have filed their first-quarter earnings reports, detailing revenue and profit totals. Becker's analyzed financial earnings at each company as a whole, along with their individual health benefits segments.
Executives from Elevance Health and Molina Healthcare are among the six new members appointed to the Medicaid and CHIP Payment and Access Commission.
UnitedHealth Group's chief legal officer Rupert Bondy received a total compensation package of $11.3 million in 2022 as the company fought the Justice Department's attempt to block an acquisition of data company Change Healthcare.
Clover Health is settling one of several class action lawsuits that accused the insurtech of misleading investors and committing securities fraud preceding its initial public offering in 2021.
A new bipartisan bill in Congress hopes to address Medicare's looming insolvency issue by moving more care into the home, Politico reported April 21.
Oklahoma City-based SSM Health is suing Bright Health over allegations that the insurtech has not paid for more than $13 million in medical claims.
Clover Health laid off around 10 percent of its workforce as part of a broader restructuring effort toward profitability.
