by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
A key Senate committee on Wednesday advanced bipartisan legislation aimed at regulating pharmacy benefit managers (PBMs), the intermediaries in the prescription drug supply chain who negotiate discounts with drug companies on behalf of insurance plans. While other...
by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
Blue Shield of California announced that it will collaborate with Microsoft to utilize the cloud to deliver data about members to the insurer and providers in real-time. The companies want to build a data collection, storage, and analysis system that they’re dubbing...
by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
Two Cigna members filed a lawsuit seeking class-action status in a California federal court on Monday, alleging the health insurance company leveraged an algorithm to improperly deny claims and systematically shift costs to its 2.1 million members. Lawyers anticipate...
by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
An analysis from the American Academy of Actuaries offers a look into the major factors that could lead to rising premiums in the individual and small group markets next year. According to the report, the top issues to watch over the next several months include...
by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
Colorado insurance officials announced Wednesday that despite their best efforts, they cannot keep troubled insurtech Friday Health Plans afloat and will instead liquidate the company on August 31. State officials put Friday Health Plans into receivership on June 21...
by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
The Centers for Medicare & Medicaid Services (CMS) could remove PET scan restrictions to better determine whether patients qualify for new drugs and to shine a light on whether a drug is slowing cognitive decline in people with Alzheimer’s disease symptoms. The...
Recent Comments