Category: Payer Issues

Patient groups, lobbyists pressure CMS to expand Aduhelm coverage

Following CMS’s preliminary decision to limit the coverage of Biogen’s Alzehimer’s disease treatment Aduhelm, advocates are calling on the agency to broaden its coverage or risk the future of similar drugs, according to a Jan. 17 Politico report. 

AHIP, BCBS Association file amicus briefs backing No Surprises Act

Two groups representing payers — America’s Health Insurance Plans and the Blue Cross Blue Shield Association — filed amicus briefs supporting HHS against a lawsuit challenging parts of the No Surprises Act. 

BCBS of Minnesota, pain clinic at odds on patient safety review, contract termination

Sartell, Minn.-based Center for Pain Management is challenging Blue Cross and Blue Shield of Minnesota’s decision to terminate its network contract, according to the St. Cloud Times. 

32 lawmakers urge CMS not to increase Medicare Part B premiums

More than 30 lawmakers penned a letter to CMS Administrator Chiquita Brooks-LaSure Jan. 18 asking her to reevaluate the proposed 14.5 percent increase to Medicare Part B premiums in 2022. 

UnitedHealth Group profits up 12.2%: 13 things to know

UnitedHealth Group posted its 2021 year-end earnings report Jan. 19, revealing strong operational earnings that slightly outpaced expectations. 

6 things to know ahead of UnitedHealth Group’s Jan. 19 earnings report

UnitedHealth Group will release its fourth quarter earnings report on Jan. 19, and the company is positioned to maintain the momentum it saw in the third quarter of 2021. 

Oscar Health notifies members of data breach: 5 things to know

Oscar Health announced that a vendor printing issue may have led to the mishandling of member information, according to a Jan. 14 news release. 

UnitedHealth Group in headlines: 7 stories

From trailblazing both stakeholder commitment and remote work to closing the books on a pair of lawsuits, here are seven recent stories on UnitedHealth Group, as reported by Becker’s Hospital Review:

UnitedHealth Group’s Dr. Ethan Berke: Why this COVID-19 surge is different + mitigating the spread 

Ethan Berke, MD, UnitedHealth Group chief public health officer, said any COVID-19 strategy should follow three steps: take a deep breath, step back and follow the science.

Humana names home solutions business president

Andrew Agwunobi, MD, will lead Humana’s home solutions business as its president, the payer announced Jan. 14.