Category: Health Insurance

UnitedHealth Group CEO Andrew Witty grilled on Change cyberattack

House subcommittee members slammed UnitedHealth Group CEO Andrew Witty for the Change Healthcare cyberattack that left providers without claims revenue and scrambling to stay afloat financially and constituents without their prescriptions.
Witty opened…

CVS acquires Medicare Advantage broker Hella Health

CVS Health has acquired New York-based Medicare Advantage broker Hella Health for an undisclosed sum, according to a LinkedIn post by Hella Health founder and CEO Rafal Walkiewicz.

CVS reports $900M cost, lower projections due in large part to high Medicare Advantage utilization

Healthcare benefits medical costs, primarily due to higher-than-expected Medicare Advantage utilization, came in approximately $900 million above expectations, according to CVS Health CFO Tom Cowhey speaking during the company’s Q1 earnings call on Wed…

Administration finalizes protections for LGBTQ+ youth

he Department of Health and Human Services has finalized a rule shoring up protections for youth in foster care by clarifying how states should meet their statutory requirements to appropriately serve LGBTQI+ children.

Evernorth offering Humira biosimilar for $0 out-of-pocket

Evernorth Health Services, a subsidiary of Cigna, will have a Humira biosimilar available for $0 out-of-pocket for eligible patients of its specialty pharmacy Accredo beginning this June.

AC, Power Banks, Mini Fridges: Oregon Equips Medicaid Patients for Climate Change

Oregon is giving Medicaid patients air conditioners and other equipment to help them cope with soaring heat, smoky skies, and other dangers of climate change. Oregon health officials hope to show other states and the federal government that they can save lives and money.

Elevance Health PBM debuts specialty pharmacy savings tool

CarelonRx, Elevance Health’s pharmacy benefits manager, is debuting an analytics tool that aims to make it easier for employers to plan for future specialty pharmacy costs while providing advocacy to employees who utilize specialty medications.

Providers, payers granted additional time to report HEDIS results due to Change cyberattack

NCQA has extended the deadline for HEDIS MY 2023 submission to 5 p.m., June 28, due to the Change Healthcare cyberattack.The extension represents an additional two weeks to report 2023 HEDIS results.

Walmart announces closing of clinics and virtual care

Walmart is closing Walmart Health and Walmart Health Virtual Care, saying the business model was not profitable nor sustainable. 
The Walmart Health centers opened in 2019.

Sign Here? Financial Agreements May Leave Doctors in the Driver’s Seat

Agreeing to an out-of-network doctor’s own financial policy — which generally protects their ability to get paid and may be littered with confusing insurance and legal jargon — can create a binding contract that leaves a patient owing.