Category: Health Insurance

Most independent pharmacies may not carry negotiated Medicare Part D drugs

A new national survey shows more than 90% of independent pharmacists may not sell drugs for which the Medicare Part D program is trying to negotiate lower prices. If they don’t, the administration’s effort to reduce prescription drug prices is bound to…

Humana sues over 2025 Medicare Advantage Star Ratings

Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D Star Ratings.

Humana sues over 2025 Medicare Advantage Star Ratings

Humana has sued the Centers for Medicare and Medicaid Services over the results of the 2025 Medicare Advantage and Part D Star Ratings.

Elevance Health ‘considering options’ following star ratings hit

Elevance Health President and CEO Gail Boudreaux said the insurer is “considering all of our options” regarding the Centers for Medicare and Medicaid Services’ 2025 Medicare Advantage Star Ratings, which saw the company take a hit in its star ratings.

Medicare Drug Plans Are Getting Better Next Year. Some Will Also Cost More.

Every year, Medicare officials encourage beneficiaries to shop around for their drug coverage. Few take the time. This year, it might be more important than ever.

HIMSSCast: AI as assistant, not replacement

Data is the lifeblood of AI, said Sundar Shenbagam, chief technology officer at Edifecs.
The challenge is having a uniform way to collect the data and maintain it to make sure it remains secure. Once that’s established, data can be managed to come up w…

Karen Lynch exits CVS, David Joyner appointed president and CEO

CVS Health President and CEO Karen Lynch is out at the company amid Friday’s release of preliminary financial guidance for the third quarter that fell short of Wall Street forecasts.
Lynch stepped down from her position per agreement with the company’s…

Healthcare executive pay rises 4.6%

Despite challenges, healthcare executive pay increased 4.6% this year, on par with the 4.4% growth rate seen last year, though executives at the system level saw greater gains as compared to subsidiary hospital executives, according to SullivanCotter’s

California Continues Progressive Policies, With Restraint, in Divisive Election Year

This legislative cycle, Gov. Gavin Newsom signed bills affirming reproductive rights and mandating insurance coverage of in vitro fertilization, but the Democrat was reluctant to impose new regulations and frequently cited costs for vetoing bills.

KFF Health News’ ‘What the Health?’: LIVE From KFF: Health Care and the 2024 Election

The Affordable Care Act has not been a major issue in the 2024 campaign, but abortion and reproductive rights have been front and center. Those are just two of the dozens of health issues that could be profoundly affected by who is elected president and which party controls Congress in 2025. In this special live episode, Tamara Keith of NPR, Alice Miranda Ollstein of Politico, and Cynthia Cox and Ashley Kirzinger of KFF join KFF Health News chief Washington correspondent Julie Rovner to discuss how health policy has affected the campaign and how the election results might affect health policy. Plus, the panel answers questions from the live audience.