Biogen slashed the price of its controversial Alzheimer’s drug Aduhelm after a problematic rollout, but the move has still done little to encourage Medicare to cover the controversial drug.
Category: Payer Issues
Court order extends coverage for 400,000 affected by Anthem, Northside dispute
Nearly 400,000 patients affected by a contract dispute between Anthem and Atlanta-based Northside Hospital System will maintain in-network rates for another month after a judge issued an injunction.
Medicare Advantage market draws growing payer interest: 5 things to know
More than 27 million Americans are enrolled in Medicare Advantage plans, and insurers are signaling it may be a fruitful market worth more of their resources, according to Forbes.
CMS approves California’s Medicaid overhaul
CMS approved California’s Medicaid proposal — called California Advancing and Innovating Medi-Cal — which aims to make the state’s Medicaid program more equitable.
Cigna in the headlines: 5 recent stories
Cigna is strengthening its leadership, partnerships and networks as it rounds out 2021.
20 things to know about Aetna
From its 2018 acquisition by CVS Health to its future in virtual and integrated care, here are 20 things to know about Aetna.
10 providers seeking payer contracting talent
Ten providers — including University of Chicago Medicine, Texas Children’s Hospital and Denver Health — recently posted job listings seeking leaders to help payer contracting and relations.
7 recent payer expansions, partnerships
From sprawling contract renewals to relationships built on member value, here are seven recent payer expansions and partnerships.
HHS proposal prioritizes ACA plan comparison, health equity: 5 things to know
A proposed rule from HHS is aiming to make it easier for consumers to compare ACA marketplace health insurance plans and promote health equity.
Endometriosis surgeons sue UnitedHealth, Aetna over claims denials
UnitedHealth Group and Aetna were both named in lawsuits for allegedly denying claims and underpaying surgeons who provided advanced endometriosis treatment.
