by Jessica Casebolt | Mar 11, 2024 | Payers, Tea Leaves
To combat growing criticism of prior authorization delays by payers, the Centers for Medicare & Medicaid Services (CMS) finalized a rule Wednesday that requires health plans to send prior authorization decisions within three days for urgent requests and seven days...
by Jessica Casebolt | Mar 11, 2024 | Payers, Tea Leaves
Wages have not been able to offset the rising costs of premiums for workers with employer-sponsored coverage over the last three decades, with Black and Hispanic employees hit particularly hard by this development, according to a study in JAMA Network Open. The...
by Jessica Casebolt | Mar 11, 2024 | Payers, Tea Leaves
The Blue Cross Blue Shield Association will lead an effort to improve maternity care in about 600 acute care and pediatric hospitals across the nation, including a push to address racial and ethnic disparities. Health equity in maternal care will be added to the list...
by Jessica Casebolt | Mar 11, 2024 | Payers, Tea Leaves
The Centers for Medicare & Medicaid Services (CMS) approved New York’s amended Medicaid section 1115 demonstration on Tuesday, spurring the agency to invest in behavioral health and health equity initiatives. The amendment, which expires March 31, 2027,...
by Jessica Casebolt | Mar 11, 2024 | Payers, Tea Leaves
Walgreens has agreed to pay $360 million to health care insurer Humana to settle a lawsuit claiming that the retail pharmacy giant for years overcharged for prescription drug reimbursements. The settlement ends a legal dispute that began when Humana accused Walgreens...
by Jessica Casebolt | Mar 11, 2024 | Payers, Tea Leaves
Elevance Health and its state-based subsidiaries initiated a lawsuit against the federal government last week demanding the Centers for Medicare and Medicaid Services (CMS) undo technical changes to the star ratings program, recalculate scores, and redetermine quality...
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