Wednesday, October 26, 2022: Payers

According to Kaiser Family Foundation’s 22nd annual survey of state Medicaid directors, states expect growth in Medicaid enrollment to slow to 8.4 percent in FY 2022 before declining by 0.4 percent in FY 2023. Simultaneously, total Medicaid spending growth – federal...

Wednesday, October 26, 2022: Payers

An article in the Wall Street Journal examines how a “methodological quirk” is turning health insurance from a driver of inflation into a deflationary drag. The Department of Labor bases the price of health insurance in large part on health-insurer profits, which are...

Wednesday, October 26, 2022: Payers

Centene announced it has selected Express Scripts as its new pharmacy benefit manager (PBM), ending its current partnership with CVS Health’s Caremark. Express Scripts will manage pharmacy benefits for 20 million Centene members beginning in 2024 in a contract valued...

Wednesday, October 26, 2022: Payers

The House Oversight and Reform Committee released a report indicating that some of the nation’s largest insurers and PBMs violate the Affordable Care Act (ACA) by imposing restrictions on birth control products. The investigation found that most companies excluded 34...