by Jessica Casebolt | Mar 14, 2023 | Payers, Tea Leaves
Thousands of patients have called on a federal court to reverse a landmark ruling allowing a UnitedHealth Group subsidiary to develop mental and substance abuse coverage guidelines they allege deviate from clinical standards. The American Medical Association, the...
by Jessica Casebolt | Mar 2, 2023 | Payers, Tea Leaves
Health insurers’ margins in Medicare Advantage were more than double those seen in other markets in 2021, reinforcing the way the program can produce strong financial returns for plans, a new Kaiser Family Foundation analysis shows. Private Medicare plans are...
by Jessica Casebolt | Feb 28, 2023 | Payers, Tea Leaves
A new study found that Medicare Advantage (MA) had fewer avoidable hospitalizations for acute conditions compared to traditional Medicare, a trend that may be caused by shifting patients to other sites of care. The study, published in the Journal of the American...
by Jessica Casebolt | Feb 27, 2023 | Payers, Tea Leaves
Payers should be keeping a close eye on developments in the drug pipeline for Alzheimer’s disease therapies—and how the Centers for Medicare & Medicaid Services (CMS) responds to those developments, according to a new report from Optum. The report...
by Jessica Casebolt | Feb 23, 2023 | Payers, Tea Leaves
A federal judge has temporarily forbidden a former Cigna executive from taking a position at CVS Health as part of an anti-poaching lawsuit. CVS Health hired Amy Bricker, then president of Cigna’s Express Scripts pharmacy benefit manager subsidiary, to be chief...
by Jessica Casebolt | Feb 22, 2023 | Payers, Tea Leaves
Medicare Advantage growth slowed for the 2023 plan year, according to a report published by the Chartis Group. Enrollment increased 5.5 percent for this year, down from a record 9 percent the prior year. The study indicates that the trend is driven by California and a...
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