Tuesday, September 20, 2022: Payers

Centene Corp. agreed to pay $165.6 million to Texas to resolve claims that it overcharged the state’s Medicaid program for pharmacy services. The health insurer and state reached the settlement on July 11. The agreement is Centene’s largest known payout over its drug...

Monday, September 19, 2022: Payers

A Willis Towers Watson survey found that U.S. employers expect health care costs to increase by 6 percent in 2023. Fifty-four percent of the 455 employers who responded to the survey reported that their health care costs in 2022 will be over budget. Another 70 percent...

Monday, September 19, 2022: Payers

A study published in JAMA Open Network found that medical debt is setting U.S. adults up for higher risks of eviction, food insecurity, and bad health outcomes regardless of insurance or income. The researchers found that those in poor health had an average of $43,000...

Monday, September 19, 2022: Payers

A Wall Street Journal article explores how work-life policies like paid sick and medical leave are becoming a more high-stakes economic issue as workers in many fields are more willing to strike. In recent weeks, nurses in Minnesota, mental health workers in...

Thursday, September 15, 2022: Payers

Blue Cross Blue Shield of North Carolina announced it saved $130 million in 2021 through its Blue Premier program that relies heavily on value-based health care. In total, the health plan saved about $500 million in the first three years of the program. Between 2020...

Thursday, September 15, 2022: Payers

The House passed legislation that would streamline prior authorization requirements under Medicare Advantage plans. The Improving Seniors’ Timely Access to Care Act would establish an electronic prior authorization process and reduce how long a health plan can...