Aetna, Blue Shield of California and Centene's Health Net are launching a shared, value-based payment model for reimbursing primary care physicians in California. The project, led by the California ...

The sale of Cigna's Medicare Advantage business to Health Care Service Corp. has been approved by all federal regulators, according to The Cigna Group CFO Brian Evanko. Mr. Evanko, who is also CEO of ...

Centene and CVS Health had the highest rates of prior authorization denials in 2023, according to a report from KFF. The report, published Jan. 29, analyzed data submitted to CMS by Medicare Advantage ...

Independence Health Group CEO Gregory Deavens plans to retire at the end of 2025. Mr. Deavens was appointed CEO of Independence Health Group, the parent company of Independence Blue Cross, in 2021, ...

Rhode Island lawmakers have introduced legislation that would prohibit payers from requiring prior authorization for treatment or services ordered by a patient's primary care provider. The proposed ...

Three TeamHealth-affiliated physician groups have filed a lawsuit against Blue Cross and Blue Shield of Texas, alleging that the insurer breached its contract by improperly reducing reimbursements for ...

The Cigna Group will invest in making prior authorization faster and simpler in 2025, CEO David Cordani said. On a Dec. 30 call with investors, Mr. Cordani said the shooting of UnitedHealthcare CEO ...

The Cigna Group saw a 34% decline in profits year over year as the company faces rising costs within its insurance business, according to its fourth quarter earnings report published Jan. 30. "While ...

From preliminary approvals to agreements with the federal government, these are five recent legal settlements involving UnitedHealth Group and its subsidiaries. 1. A Minnesota federal judge gave ...

UnitedHealthcare has reached a settlement to resolve three proposed class action lawsuits alleging that the insurer wrongfully denied coverage for a specialized cancer treatment that plaintiffs claim ...

Alabama has the highest average in-network denial rate for ACA insurers, while South Dakota has the lowest, according to KFF. KFF analyzed CMS data on claims denials and appeals for non-group ...

Insurers on the ACA marketplace denied around one in five in-network claims in 2023, according to a report from KFF published Jan. 27. Plans sold on the federal ACA marketplace are required to report ...