Friday, May 13, 2022: Payers

A new study published in the American Journal of Managed Care suggests that Medicare needs to make more home care services reimbursable for accountable care organizations (ACOs) to entice more providers to offer such care. Researchers found that roughly 25 percent of...

Wednesday, May 11, 2022: Payers

Oscar Health said it will exit Colorado and Arkansas after the company failed to attract members in those states. During its first-quarter earnings call, Chief Financial Officer Scott Blackley said that the insurtech does not expect the move to have a...

Monday, May 9, 2022: Payers

A study published in JAMA Health Forum found that prescription drug rebates from drugmakers to commercial health plans are steadily increasing. However, while such rebates can reduce plans’ net costs, they do not reduce patients’ cost sharing. According to the...

Friday, May 6, 2022: Payers

Centene announced it plans to divest two of its pharmacy businesses for a total of $2.8 billion. The insurer will sell its Magellan Rx subsidiary to Prime Therapeutics, a pharmacy benefit manger (PBM) backed by some of the country’s largest Blues plans, and will...

Friday, May 6, 2022: Payers

In the wake of the leaked Supreme Court opinion that would overturn Roe v. Wade, employers are contemplating measures to help employees access abortion services. Thus far, at least 12 companies have expressed a commitment to employees’ rights: Amazon, Alloy, Apple,...

Thursday, May 5, 2022: Payers

Cigna launched a new provider consult service that aims to improve outcomes for patients with cancer. The program, backed by the capabilities of the insurer’s Evernorth subsidiary, allows community oncologists to connect with cancer subspecialty experts at...