CMS is rolling out the Medicare GLP-1 Bridge program — a demonstration designed to give eligible Medicare Part D beneficiaries access to certain GLP-1s at a fixed monthly cost — July 1. CMS officials, ...

Sustainability has become less about cutting costs and more about redesigning how healthcare delivers value. Becker’s asked several health plan leaders how they’re thinking about long-term ...

Kansas Attorney General Kris Kobach filed a lawsuit in state court June 24 against Aetna, alleging the insurer misused tens of millions of dollars while administering the state employee health plan.

Earlier in June, the HHS Office of Inspector General published two reports shedding light on post-acute care denials and overturned appeals from Medicare Advantage organizations. AHIP is pushing back.

Elevance Health is suing CMS over its 2026 Medicare Advantage star ratings, arguing the agency gave competitor Clover Health a favorable recalculation after losing a court case to the insurer in May.

Sustainability has become less about cutting costs and more about redesigning how healthcare delivers value. Becker’s asked several health plan leaders how they’re thinking about long-term ...

UnitedHealthcare is ending broker commission payments for some of its Medicare Advantage plans. In a statement shared with Becker’s June 17, a spokesperson said the company will not pay commissions ...

At the start of this year, Florida Blue launched two specialty pharmacy programs aimed at reducing drug costs for members on high-priced therapies. The programs, dubbed FlexAccess and Advocate+ ...

Delaware’s largest payer controls 93% of the state’s health insurance market, while Washington state’s largest insurer controls just 24%, according to KFF. The 2023 data was obtained from the “Health ...

The Connecticut Insurance Department fined Aetna, Cigna, ConnectiCare, UnitedHealthcare and Anthem over alleged mental health parity violations, according to an April 15 department report. The report ...

CVS Health will lay off 55 employees who report to Aetna’s headquarters in Hartford, Conn., due to the closure of the payer’s CareFree insurance plan. “We are sunsetting CareFree operations by the end ...

Elevance Health has named 45 primary care practices and health systems to its annual Care Provider Recognition Program, recognizing the top 1% of primary care providers for excellence in delivering ...