An organization representing Medicare Advantage insurers is asking CMS to pause any policy changes to the program not required by law in 2026. In a Jan. 28 press release, the Better Medicare Alliance, ...

The sale of Cigna's Medicare Advantage business to Health Care Service Corp. has been approved by all federal regulators, according to The Cigna Group CFO Brian Evanko. Mr. Evanko, who is also CEO of ...

Independence Health Group CEO Gregory Deavens plans to retire at the end of 2025. Mr. Deavens was appointed CEO of Independence Health Group, the parent company of Independence Blue Cross, in 2021, ...

Aetna, Blue Shield of California and Centene's Health Net are launching a shared, value-based payment model for reimbursing primary care physicians in California. The project, led by the California ...

Centene and CVS Health had the highest rates of prior authorization denials in 2023, according to a report from KFF. The report, published Jan. 29, analyzed data submitted to CMS by Medicare Advantage ...

Three TeamHealth-affiliated physician groups have filed a lawsuit against Blue Cross and Blue Shield of Texas, alleging that the insurer breached its contract by improperly reducing reimbursements for ...

The Cigna Group saw a 34% decline in profits year over year as the company faces rising costs within its insurance business, according to its fourth quarter earnings report published Jan. 30. "While ...

Rhode Island lawmakers have introduced legislation that would prohibit payers from requiring prior authorization for treatment or services ordered by a patient's primary care provider. The proposed ...

UnitedHealthcare has reached a settlement to resolve three proposed class action lawsuits alleging that the insurer wrongfully denied coverage for a specialized cancer treatment that plaintiffs claim ...

Payers faced state penalties in 2024 for slow reimbursements, improper claims denials, or the sale of unapproved products. Centene's California Health and Wellness was fined $100,000 by California in ...

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The number of prior authorization determinations issued by Medicare Advantage insurers continued to grow in 2023, according to a new report from KFF. The report, published Jan. 29, examines data from ...