Wednesday, October 26, 2022: Payers

An article in the Wall Street Journal examines how a “methodological quirk” is turning health insurance from a driver of inflation into a deflationary drag. The Department of Labor bases the price of health insurance in large part on health-insurer profits, which are...

Wednesday, October 26, 2022: Payers

Centene announced it has selected Express Scripts as its new pharmacy benefit manager (PBM), ending its current partnership with CVS Health’s Caremark. Express Scripts will manage pharmacy benefits for 20 million Centene members beginning in 2024 in a contract valued...

Wednesday, October 26, 2022: Payers

The House Oversight and Reform Committee released a report indicating that some of the nation’s largest insurers and PBMs violate the Affordable Care Act (ACA) by imposing restrictions on birth control products. The investigation found that most companies excluded 34...

Tuesday, October 25, 2022: Payers

JPMorgan announced it is partnering with Vera Whole Health to launch three new office-based primary care locations in Ohio. The launch is part of the collaboration between the company’s benefits team and Morgan Health, a new business unit within the firm focused on...

Tuesday, October 25, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) announced new requirements for the Special Focus Facility (SFF) Program to change how nursing homes are evaluated. CMS is making it harder for a low-quality nursing home to make it out of the SFF, which seeks to...

Thursday, October 20, 2022: Payers

Surgeon General Vivek Murthy released guidance detailing how long hours, lack of autonomy, low pay, and other elements of a toxic workplace can impact the health and organizational performance of workers. The guidance supports the Surgeon General’s Advisory on...