News
For the 13th year in a row, the healthcare industry reported the most expensive data breaches, at an average cost of $10.9 million.
President and CFO Kevin Hammons says the company is continuing to gauge interest from outside parties related to future divestitures.
Insurers are prohibited from imposing copayments, prior authorization and other requirements that are more restrictive than medical benefits.
Facility fees create confusion and increase costs for consumers, such as greater out-of-pocket expenses and higher premiums, the report says.
CMS last week cracked down on noncompliance by pausing the redetermination process in several states.
The Commission rescinded earlier guidance that was opposed to increased regulatory oversight and transparency of PBMs.
The lawsuit claims the Cigna PXDX algorithm enables automatic denials for treatments that do not match preset criteria.
The managed care organizations in the review denied one out of every eight requests for prior authorization in 2019.
Court case precedent and reinstatement of former market concentration thresholds will play a major role.
McIver will lead AHIP's health equity initiatives, setting and driving strategies to improve health equity for underrepresented communities.