by Jordana Choucair | Feb 9, 2023 | Payers
Centene Corp. has agreed to pay more than $215 million to California over allegations it overcharged the state for pharmacy services. The agreement makes California at least the 17th state to settle pharmacy billing claims totaling $939 million with Centene and the...
by Jordana Choucair | Feb 9, 2023 | Payers
UnitedHealthcare announced UnitedHealthcare Rewards – a new wearables-based rewards program for members and their spouses. Via the program, eligible members can earn up to $1,000 per year by using wearable devices to complete health goals and activities. The insurer...
by Jordana Choucair | Feb 9, 2023 | Payers
The Department of Justice (DOJ) announced that it collected $2.2 billion in False Claims Act settlements and judgments for the federal fiscal year 2022, with over $1.7 billion related to the health care industry. The $1.7 billion in collections range from fraud in...
by Jordana Choucair | Feb 8, 2023 | Payers
A study published in Health Affairs found that Medicare Advantage (MA) plans added 22.2 million beneficiaries while traditional Medicare lost 1 million enrollees from 2006 through 2022. According to the research, MA growth occurred broadly across counties and age...
by Jordana Choucair | Feb 8, 2023 | Payers
Centene expects to lose an estimated 2.2 million Medicaid members during the redetermination process over the next 18 months, which would significantly dial back the insurer’s pandemic-era growth. For full-year 2022, Centene reported $1.2 billion in profit, down...
by Jordana Choucair | Feb 3, 2023 | Payers
A new Kaiser Family Foundation analysis found that Medicare Advantage (MA) plans denied two million (six percent) of the 35 million prior authorization requests for health care services in whole or in part in 2021. The analysis also finds that, in general, insurers...
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