Over the next several months, health plans, health systems, policymakers and patients led by Baltimore-based Johns Hopkins will begin addressing prior authorization as part of a convening group. While ...

UnitedHealthcare will not cover remote physiologic monitoring when it is “unproven and not medically necessary,” including for Type 2 diabetes and most cases of hypertension. However, it will still ...

At Becker’s Fall Payer Issues Roundtable in early November, payer and provider executives discussed the shifting realities facing health plans, from regulatory pressure and AI adoption to member ...

Fort Lauderdale, Fla.-based Broward Health and Hollywood, Fla.-based Memorial Healthcare System are partnering to offer Broward County residents a new health insurance option on the ACA Marketplace ...

The nation’s largest payers have filed their third-quarter earnings reports, revealing which companies recorded the largest profits for the three months ended Sept. 30. 1. UnitedHealth Group: $2.3 ...

Baltimore-based Johns Hopkins is convening with health plans, health systems, policymakers and patients to further high-value care, according to a document shared with Becker’s on Nov. 7. “The purpose ...

Cambia Health Solutions and Blue Cross and Blue Shield of Arkansas have signed a definitive agreement to form a strategic affiliation. Under the agreement, Arkansas Blue Cross will continue to operate ...

Use of a grocery card benefit by Medicare Advantage dual-eligible enrollees correlated to increased office visits, according to an October study from the Elevance ...

Blue Cross and Blue Shield of Massachusetts has lost its legal challenge against CMS over the methodology used to calculate its 2025 Medicare Advantage star ratings. In a Nov. 3 ruling from the U.S.

Medicare will begin covering weight-loss drugs in 2026 for the first time under a pricing agreement announced by the White House, according to a Nov. 6 press release. The agreements with Eli Lilly and ...

The Idaho Department of Insurance has ordered UnitedHealthcare and PacificSource Health Plans to immediately cease and desist practices that the state says intentionally limited access to Medicare ...

Chris DeRosa, Cigna’s Executive Vice President of Business Improvement and Innovation, retired after more than two decades in leadership positions with the company. Mr. DeRosa had served in his most ...