From Kraft Heinz suing Aetna for alleged mismanagement of employee claims data to Elevance Health being sued by contracted labor unions for reportedly restricting claims data access, certain ...

Blue Cross Blue Shield of Michigan will no longer cover GLP-1 drugs to treat obesity beginning in January, Bloomberg reported June 12. A spokesperson for Michigan's largest insurer told the news ...

Here are five lawsuits, settlements and legal developments involving payers that Becker's has reported since May 22: 1. CMS must recalculate the Medicare Advantage star ratings for Anthem Blue Cross ...

A group of U.S. lawmakers have introduced legislation aimed at reforming the Medicare Advantage prior authorization process. The legislation is an updated version of the Improving Seniors’ Timely ...

Optum's former senior vice president of AI products and platforms Sanji Fernando has joined healthcare-focused private equity firm Frazier Healthcare Partners. Mr. Fernando will serve as an operating ...

Blue Shield of California snagged a contract managing care for 400,000 California state employees. The California Public Employees’ Retirement System awarded the payer its PPO contract, according to a ...

A generic medication from CivicaScript saved Highmark members $90 per month on average and generated $3 million in savings for the plan, members and group customers, the insurer said in a May 29 news ...

CMS is conducting a review of Texas' Medicaid enrollment backlogs. According to a letter from the agency to Texas Deputy State Medicaid Director Emily Zalkovsky, in January, around 40% of Medicaid ...

Public health and the rest of the healthcare delivery system have long operated in silos in the U.S. While progress was made during the COVID-19 pandemic, CDC Director Mandy Cohen, MD, stressed that ...

Here are 10 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since May 28: 1. The 49 lawsuits filed against UnitedHealth Group's Change Healthcare subsidiary alleging the ...

Weight loss drugs are the number one thing on payers' and employers' minds right now, according to the president of Cigna's pharmacy benefit manager. "It's the hottest topic with each and every client ...