Tea Leaves: January 12, 2024: Payers

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...

Tea Leaves: January 10, 2024: Payers

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,...

Tea Leaves: January 9, 2024: Payers

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...

Tea Leaves: January 8, 2024: Payers

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...

Tea Leaves: January 4, 2024: Payers

Health insurance companies are expanding their coverage of bariatric surgery amid rising demand for pricey new weight loss drugs. Geisinger Health Plan and Blue Cross and Blue Shield carriers in Massachusetts, Michigan, and Vermont are among those easing access to...

Tea Leaves: January 3, 2024: Payers

According to a recent study, Medicare Part D overpays for certain over-the-counter (OTC) drugs that are covered when prescribed by a doctor. In addition, these higher costs filtered down to beneficiaries, and in some cases, their cost-sharing was also higher....