Thursday, October 28, 2021: Payers

KFF’s Annual Survey of Medicaid Directors found that the COVID-19 pandemic prompted over half of state Medicaid programs to expand programs to address social determinants of health. Three-quarters of responding states reported initiatives in place or planned to...

Wednesday, October 27, 2021: Payers

Centene’s CFO told inventors that the company will evaluate proposals from pharmacy benefits companies next year to manage the health insurer’s $30 billion per year drug spend. In 2018, Centene fired CVS Caremark as its PBM and shifted the drug purchasing...

Tuesday, October 26, 2021: Payers

Business groups are asking the White House to delay implementing President Joe Biden’s COVID-19 vaccine mandate. The National Retail Federation, the American Trucking Associations, and the Retail Industry Leaders Association asked officials to give businesses 90 days...

Monday, October 25, 2021: Payers

CMS released new guidance requiring state Medicaid programs and the Children’s Health Insurance Program to cover treatments for COVID-19 without cost sharing. The coverage requirement includes drugs approved by the FDA for treating COVID-19, preventive therapies,...

Friday, October 22, 2021: Payers

UnitedHealth Group Inc. pledged to reprocess every one of its commercial claims tied to COVID-19 vaccines. The promise comes after a federal investigation uncovered that the Minnesota-based insurer doled out “millions” in provider bills at a rate 40...

Thursday, October 21, 2021: Payers

CMS Innovation Center leaders outlined the agency’s strategy to drive health care transformation. The strategy consists of five goals: 1) increase the number of people in relationships with providers that are accountable for patients’ costs and improving...